PERI-PX DEV EVAL ISDSS IP at Ascension Seton

Luling, TX

Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $69 is 5% above the median hospital's median price ($65), higher than 51% of the 313 hospitals reporting CPT 0684T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0684T at Ascension Seton

Negotiated rates from the hospital’s own file: 1 payer, 5 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	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
2	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
3	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
4	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
5	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$84	$84	—	—	—	$84 – $84

Last updated: Jan 1, 2026

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