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 TTE F/UP OR LIMITED W/O CONTRAST
Irving, TX
See all hospitals reporting CPT 93308 →Price type
Baylor Scott & White Medical Center - Irving’s median price of $479 is 37% above the median hospital's median price ($349), higher than 63% of the 2,519 hospitals reporting CPT 93308. 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, 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 · fee schedule · outpatient | $97.56 | $97.56 | $97.56 – $97.56 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 3 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $226.81 | $226.81 | $226.81 – $226.81 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $227.71 | $227.71 | $227.71 – $227.71 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $239.69 | $239.69 | $239.69 – $239.69 |
| 6 | Humana medicare facility · fee schedule · outpatient | $239.69 | $239.69 | $239.69 – $239.69 |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $251.67 | $251.67 | $251.67 – $251.67 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $251.67 | $251.67 | $251.67 – $251.67 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $268.45 | $268.45 | $268.45 – $268.45 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $287.63 | $287.63 | $287.63 – $287.63 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $300.81 | $300.81 | $300.81 – $300.81 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $395.49 | $395.49 | $395.49 – $395.49 |
| 13 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $430.72 | $430.72 | $430.72 – $430.72 |
| 14 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $453.62 | $453.62 | $453.62 – $453.62 |
| 15 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $455.10 | $455.10 | $455.10 – $455.10 |
| 16 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $478.74 | $478.74 | $478.74 – $478.74 |
| 17 | Ambetter ambetter exchange facility · fee schedule · outpatient | $515.33 | $515.33 | $515.33 – $515.33 |
| 18 | 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 | $688.92 | $688.92 | $688.92 – $688.92 |
| 19 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $688.92 | $688.92 | $688.92 – $688.92 |
| 20 | 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 | $810.49 | $810.49 | $810.49 – $810.49 |
| 21 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $810.49 | $810.49 | $810.49 – $810.49 |
| 22 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $869.04 | $869.04 | $869.04 – $869.04 |
| 23 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $869.04 | $869.04 | $869.04 – $869.04 |
| 24 | Aetna commercial facility · fee schedule · outpatient | $917.00 | $917.00 | $917.00 – $917.00 |
| 25 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $965.60 | $965.60 | $965.60 – $965.60 |
Last updated: Jun 29, 2026
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