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
HC EXERCISE TEST FOR BRONCHOSPASM, W/SPIROMETRY/PULSE OX
Fort Worth, TX
See all hospitals reporting CPT 94617 →Price type
Baylor Scott & White All Saints Medical Center - Fort Worth’s median price of $326 is 106% above the median hospital's median price ($158), higher than 81% of the 1,599 hospitals reporting CPT 94617. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $125.11 | $125.11 | $125.11 – $125.11 |
| 2 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $126.97 | $126.97 | $126.97 – $126.97 |
| 3 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $127.61 | $127.61 | $127.61 – $127.61 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $133.65 | $133.65 | $133.65 – $133.65 |
| 5 | Humana medicare facility · fee schedule · outpatient | $133.65 | $133.65 | $133.65 – $133.65 |
| 6 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $133.86 | $133.86 | $133.86 – $133.86 |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $140.33 | $140.33 | $140.33 – $140.33 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $140.33 | $140.33 | $140.33 – $140.33 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $149.69 | $149.69 | $149.69 – $149.69 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $160.38 | $160.38 | $160.38 – $160.38 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $167.73 | $167.73 | $167.73 – $167.73 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $220.52 | $220.52 | $220.52 – $220.52 |
| 13 | Ambetter ambetter exchange facility · fee schedule · outpatient | $287.35 | $287.35 | $287.35 – $287.35 |
| 14 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $334.72 | $334.72 | $334.72 – $334.72 |
| 15 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $385.49 | $385.49 | $385.49 – $385.49 |
| 16 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $385.49 | $385.49 | $385.49 – $385.49 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $430.06 | $430.06 | $430.06 – $430.06 |
| 18 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $453.51 | $453.51 | $453.51 – $453.51 |
| 19 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $453.51 | $453.51 | $453.51 – $453.51 |
| 20 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $486.28 | $486.28 | $486.28 – $486.28 |
| 21 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $486.28 | $486.28 | $486.28 – $486.28 |
| 22 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $540.31 | $540.31 | $540.31 – $540.31 |
| 23 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $547.34 | $547.34 | $547.34 – $547.34 |
| 24 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $547.34 | $547.34 | $547.34 – $547.34 |
| 25 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $547.34 | $547.34 | $547.34 – $547.34 |
Last updated: Jun 29, 2026
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