Critical care, first hour of physician time 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

CRITICAL CARE 30-74 MIN 25

Smithville, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $3.3k is 177% above the median hospital's median price ($1.2k), higher than 85% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Ascension Seton

Negotiated rates from the hospital’s own file: 7 payers, 20 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	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$643.73	$643.73	$643.73 – $643.73
2	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 other · outpatient	$1,073	$1,073	$1,073 – $1,073
3	Oscar 4511_oscar health plan 20251001 case rate · outpatient	$1,662	$1,662	$1,662 – $1,662
4	Humana 2668_humana hmo 20230701 case rate · outpatient	$2,053	$2,053	$2,053 – $2,053
5	Aetna 1377_aetna hmo exchange 20200101 case rate · outpatient	$2,368	$2,368	$2,368 – $2,368
6	Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient	$2,828	$2,828	$2,828 – $2,828
7	Aetna 235_aetna pos 20140601 case rate · outpatient	$3,029	$3,029	$3,029 – $3,029
8	Aetna 236_aetna elect choice 20140601 case rate · outpatient	$3,029	$3,029	$3,029 – $3,029
9	Aetna 4489_aetna aco hmo 20250801 case rate · outpatient	$3,102	$3,102	$3,102 – $3,102
10	Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 percent of total billed charges · outpatientfrom % of charges	$3,132	$3,224	$2,615 – $3,620
11	Cigna 4476_cigna hmo (wil,del) 20250701 percent of total billed charges · outpatientfrom % of charges	$3,132	$3,224	$2,615 – $3,620
12	Aetna 4490_aetna multi-tier whole health sha 20250801 case rate · outpatient	$3,404	$3,404	$3,404 – $3,404
13	Aetna 4486_aetna hmo 20250801 fee schedule · outpatient	$3,535	$3,535	$3,535 – $3,535
14	UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 case rate · outpatient	$3,719	$3,719	$3,719 – $3,719
15	UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 case rate · outpatient	$3,719	$3,719	$3,719 – $3,719
16	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 case rate · outpatient	$4,760	$4,760	$4,760 – $4,760
17	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 case rate · outpatient	$4,760	$4,760	$4,760 – $4,760
18	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 case rate · outpatient	$5,200	$5,200	$5,200 – $5,200
19	Humana 2673_humana ppo 20230701 case rate · outpatient	$5,425	$5,425	$5,425 – $5,425
20	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 case rate · outpatient	$5,800	$5,800	$5,800 – $5,800

Last updated: Jan 1, 2026

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