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 MEDICARE ONLY - SCRN PAP SMR/OBT,P
Buda, TX
See all hospitals reporting HCPCS Q0091 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $23 is 29% below the median hospital's median price ($32), higher than 15% of the 1,623 hospitals reporting HCPCS Q0091. 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 3 | 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 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | 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 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 9 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 10 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Humana medicare facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 17 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 18 | UnitedHealthcare commercial facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 20 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 22 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 23 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 24 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
Last updated: Jun 13, 2026
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