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 L1833, COOL X-ACT ROM
Buda, TX
See all hospitals reporting HCPCS L1833 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $404 is 25% below the median hospital's median price ($542), higher than 21% of the 1,207 hospitals reporting HCPCS L1833. 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, 28 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 | $73 | $75 | $5 | 7% | — | $70 – $82 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $78 | $80 | $6 | 7% | — | $75 – $88 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · inpatientfrom % of charges | $202 | $206 | $14 | 7% | — | $192 – $226 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $275 | $282 | $20 | 7% | — | $262 – $309 |
| 5 | 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 | $278 | $285 | $20 | 7% | — | $265 – $312 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $324 | $332 | $23 | 7% | — | $308 – $363 |
| 7 | 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 | $327 | $335 | $23 | 7% | — | $312 – $367 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $336 | $344 | $24 | 7% | — | $320 – $377 |
| 9 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $354 | $363 | $25 | 7% | — | $337 – $397 |
| 10 | Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges | $354 | $363 | $25 | 7% | — | $337 – $397 |
| 11 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $354 | $363 | $25 | 7% | — | $337 – $397 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $360 | $369 | $26 | 7% | — | $343 – $404 |
| 13 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $397 | $407 | $28 | 7% | — | $378 – $445 |
| 14 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $397 | $407 | $28 | 7% | — | $378 – $445 |
| 15 | Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $415 | $425 | $30 | 7% | — | $395 – $466 |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $415 | $425 | $30 | 7% | — | $395 – $466 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $422 | $432 | $30 | 7% | — | $402 – $473 |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · inpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · inpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · inpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $428 | $438 | $31 | 7% | — | $407 – $480 |
Last updated: Jun 13, 2026
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