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
RX MNTR NZM IA 35+ORAL FLU
Smithville, TX
See all hospitals reporting CPT 0116U →Price type
Ascension Seton’s median price of $953 is 275% above the median hospital's median price ($254), higher than 97% of the 1,277 hospitals reporting CPT 0116U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $469 | $469 | — | — | — | $469 – $469 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $953 | $953 | — | — | — | $953 – $953 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $953 | $953 | — | — | — | $953 – $953 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 1, 2026
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