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
NJX AA&/STRD SPRSCAP NRV
Smithville, TX
See all hospitals reporting CPT 64418 →Price type
Ascension Seton’s median price of $39 is 95% below the median hospital's median price ($860), higher than 0% of the 2,044 hospitals reporting CPT 64418. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 24 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 | $31.18 | $31.18 | $31.18 – $31.18 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 4 | Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 5 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 6 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 7 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 8 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 9 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 10 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 11 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 12 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 13 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 fee schedule · outpatient | $38.76 | $38.76 | $38.76 – $38.76 |
| 14 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $41.58 | $41.58 | $41.58 – $41.58 |
| 15 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $41.58 | $41.58 | $41.58 – $41.58 |
| 16 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $44.61 | $44.61 | $44.61 – $44.61 |
| 17 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $50.67 | $50.67 | $50.67 – $50.67 |
| 18 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 fee schedule · both | $67.47 | $67.47 | $67.47 – $67.47 |
| 19 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 fee schedule · both | $67.47 | $67.47 | $67.47 – $67.47 |
| 20 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · both | $67.47 | $67.47 | $67.47 – $67.47 |
| 21 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · both | $67.47 | $67.47 | $67.47 – $67.47 |
| 22 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $565.37 | $565.37 | $565.37 – $565.37 |
| 23 | Humana 206_humana hmo custom 20140201 other · outpatient | $969.15 | $969.15 | $969.15 – $969.15 |
| 24 | Oscar 4511_oscar health plan 20251001 other · both | $1,000 | $1,000 | $1,000 – $1,000 |
Last updated: Jan 1, 2026
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