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 REVISE MIDEAR & MAST
Buda, TX
See all hospitals reporting CPT 69643 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $7.1k is 15% above the median hospital's median price ($6.2k), higher than 62% of the 1,582 hospitals reporting CPT 69643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 blue advantage facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 3 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Superior Healthplan medicaid facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 8 | Humana medicare facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 9 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | 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 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 11 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 12 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 13 | Cigna local plus facility · case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 14 | 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 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 15 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 16 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 17 | Cigna hmo/ppo facility · case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 20 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 21 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 22 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 23 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 24 | Humana commercial hmo facility · case rate · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
Last updated: Jun 13, 2026
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