Liver stiffness test using vibration at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LIVER ELASTOGRAPHY

Luling, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $180 is 15% above the median hospital's median price ($156), higher than 61% of the 1,551 hospitals reporting CPT 91200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91200 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 29 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	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
5	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
6	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
7	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
8	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
9	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
10	Blue Cross Blue Shield 4170_blue cross chip (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
11	Blue Cross Blue Shield 4170_blue cross chip/star kids (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
12	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
13	Blue Cross Blue Shield 5007_blue cross star kids (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
14	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
15	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
16	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
17	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
18	Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
19	Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
20	Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
21	Superior Healthplan 4243_chirp superior star (ebd) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
22	Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
23	Superior Healthplan 4393_chirp superior star plus (ebd) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
24	Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
25	Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$276	$276	—	—	—	$276 – $276

Page 1 of 2 · 29 rates

Last updated: Jan 1, 2026

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See Liver stiffness test using vibration pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.