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
UNLISTED MISC PX DX NUC MED
Smithville, TX
See all hospitals reporting CPT 78999 →Price type
Ascension Seton’s median price of $101 is 78% below the median hospital's median price ($461), higher than 2% of the 1,351 hospitals reporting CPT 78999. 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, 35 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 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 2 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 7 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 10 | UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 11 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 12 | UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 13 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 14 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 15 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 16 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 17 | UnitedHealthcare 4328_uhc star kids (smv) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 18 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 19 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 20 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $536 | $536 | — | — | — | $536 – $536 |
| 21 | Superior Healthplan 3515_chirp superior star (smv) inpatient 20240901 fee schedule · both | $536 | $536 | — | — | — | $536 – $536 |
| 22 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 23 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 24 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 25 | Superior Healthplan 4247_chirp superior star (smv) outpatient 20241201 fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
Last updated: Jan 1, 2026
See Unlisted diagnostic nuclear medicine procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.