Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ETHYL GLUCURONIDE-SULFATE
Kyle, TX
See all hospitals reporting CPT 80307 →Price type
Ascension Seton’s median price of $52 is 39% below the median hospital's median price ($85), higher than 4% of the 2,582 hospitals reporting CPT 80307. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 60 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $32.98 | $32.98 | $32.98 – $32.98 |
| 2 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 3 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 4 | Blue Cross Blue Shield 3597_blue cross chip/star kids (hay) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 5 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 6 | Blue Cross Blue Shield 3696_chirp blue cross star (hay) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 7 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 8 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 9 | Blue Cross Blue Shield 4171_blue cross chip (hay) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 10 | Blue Cross Blue Shield 4171_blue cross chip/star kids (hay) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 11 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 12 | Blue Cross Blue Shield 5009_blue cross star kids (hay) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 13 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 14 | UnitedHealthcare 3740_chirp uhc star (hay) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 15 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 16 | UnitedHealthcare 3751_chirp uhc star plus (hay) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 17 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 18 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 19 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.20 | $52.20 | $52.20 – $52.20 |
| 20 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 21 | UnitedHealthcare 4325_uhc star kids (hay) inpatient 20240901 fee schedule · both | $52.20 | $52.20 | $52.20 – $52.20 |
| 22 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $60.34 | $60.34 | $60.34 – $60.34 |
| 23 | Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · both | $60.34 | $60.34 | $60.34 – $60.34 |
| 24 | UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · both | $60.34 | $60.34 | $60.34 – $60.34 |
| 25 | UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · both | $60.34 | $60.34 | $60.34 – $60.34 |
Last updated: Jan 1, 2026
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