Aspiration or injection of a ganglion cyst 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

ASPIRATE/INJ GANGLION CYST

Smithville, TX

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How this price compares nationally

Ascension Seton’s median price of $30 is 92% below the median hospital's median price ($365), higher than 0% of the 2,158 hospitals reporting CPT 20612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20612 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 22 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	$25	$25	—	—	—	$25 – $25
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 4174_blue cross chip (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
5	Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
6	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
7	Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
8	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
9	Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
10	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
11	UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
12	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
13	UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
14	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
15	UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
16	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
17	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
18	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
19	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
20	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
21	Humana 206_humana hmo custom 20140201 other · outpatient	$969	$969	—	—	—	$969 – $969
22	Oscar 4511_oscar health plan 20251001 other · both	$1k	$1k	—	—	—	$1k – $1k

Last updated: Jan 1, 2026

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