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
H PYLRI CLRTHMCN RST AMP PRB
Kyle, TX
See all hospitals reporting CPT 87513 →Price type
Ascension Seton’s median price of $35 is 5% below the median hospital's median price ($37), higher than 7% of the 1,437 hospitals reporting CPT 87513. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 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 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 8 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 9 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 10 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $36 | $36 | — | — | — | $36 – $36 |
| 11 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 14 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
Last updated: Jan 1, 2026
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