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 EXC TR-EXT B9+MARG 0.6 - 1.0 CM
Grapevine, TX
See all hospitals reporting CPT 11401 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $649 is 28% above the median hospital's median price ($507), higher than 62% of the 2,297 hospitals reporting CPT 11401. 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 · fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 2 | Aetna medicaid facility · fee schedule · outpatient | $90.92 | $90.92 | $90.92 – $90.92 |
| 3 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $95.38 | $95.38 | $95.38 – $95.38 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $388.59 | $388.59 | $388.59 – $388.59 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $409.04 | $409.04 | $409.04 – $409.04 |
| 6 | Humana medicare facility · fee schedule · outpatient | $409.04 | $409.04 | $409.04 – $409.04 |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $429.49 | $429.49 | $429.49 – $429.49 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $429.49 | $429.49 | $429.49 – $429.49 |
| 9 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $436.38 | $436.38 | $436.38 – $436.38 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $458.12 | $458.12 | $458.12 – $458.12 |
| 11 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $490.85 | $490.85 | $490.85 – $490.85 |
| 12 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $513.35 | $513.35 | $513.35 – $513.35 |
| 13 | 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 | $581.45 | $581.45 | $581.45 – $581.45 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $581.45 | $581.45 | $581.45 – $581.45 |
| 15 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $613.29 | $613.29 | $613.29 – $613.29 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $648.68 | $648.68 | $648.68 – $648.68 |
| 17 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $674.92 | $674.92 | $674.92 – $674.92 |
| 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 | $684.06 | $684.06 | $684.06 – $684.06 |
| 19 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $684.06 | $684.06 | $684.06 – $684.06 |
| 20 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $733.48 | $733.48 | $733.48 – $733.48 |
| 21 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $733.48 | $733.48 | $733.48 – $733.48 |
| 22 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $814.97 | $814.97 | $814.97 – $814.97 |
| 23 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $825.59 | $825.59 | $825.59 – $825.59 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $825.59 | $825.59 | $825.59 – $825.59 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $825.59 | $825.59 | $825.59 – $825.59 |
Last updated: Jun 29, 2026
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