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
B1 STR&FX RSK ASMT DXRBMD1VW
Smithville, TX
See all hospitals reporting CPT 0750T →Price type
Ascension Seton’s median price of $199 is 2% below the median hospital's median price ($204), higher than 42% of the 302 hospitals reporting CPT 0750T. 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 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
Last updated: Jan 1, 2026
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