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
IO RAD TX DELIVER BY ELCTRNS
Smithville, TX
See all hospitals reporting CPT 77425 →Price type
Ascension Seton’s median price of $1.5k is 80% below the median hospital's median price ($7.5k), higher than 18% of the 1,019 hospitals reporting CPT 77425. 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, 12 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 | $474 | $474 | — | — | — | $474 – $474 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $958 | $958 | — | — | — | $958 – $958 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $958 | $958 | — | — | — | $958 – $958 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Oscar 4511_oscar health plan 20251001 case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 11 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 12 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
Last updated: Jan 1, 2026
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