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 REF MAYO SKETC KETONE QL, U
Temple, TX
See all hospitals reporting CPT 81003 →Price type
Baylor Scott & White Medical Center - Temple’s median price of $21 is 333% above the median hospital's median price ($5), higher than 75% of the 2,610 hospitals reporting CPT 81003. 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 · fee schedule · outpatient | $1.89 | $1.89 | $1.89 – $1.89 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $2.02 | $2.02 | $2.02 – $2.02 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $2.14 | $2.14 | $2.14 – $2.14 |
| 4 | Humana medicare facility · fee schedule · outpatient | $2.25 | $2.25 | $2.25 – $2.25 |
| 5 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $2.25 | $2.25 | $2.25 – $2.25 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $2.36 | $2.36 | $2.36 – $2.36 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $2.52 | $2.52 | $2.52 – $2.52 |
| 8 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $2.70 | $2.70 | $2.70 – $2.70 |
| 9 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $2.82 | $2.82 | $2.82 – $2.82 |
| 10 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $3.64 | $3.64 | $3.64 – $3.64 |
| 11 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $3.71 | $3.71 | $3.71 – $3.71 |
| 12 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $4.28 | $4.28 | $4.28 – $4.28 |
| 13 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $11.63 | $11.63 | $11.63 – $11.63 |
| 14 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $11.79 | $11.79 | $11.79 – $11.79 |
| 15 | UnitedHealthcare commercial facility · fee schedule · outpatient | $12.00 | $12.00 | $12.00 – $12.00 |
| 16 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $13.48 | $13.48 | $13.48 – $13.48 |
| 17 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $14.20 | $14.20 | $14.20 – $14.20 |
| 18 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $30.10 | $42.72 | $30.10 – $80.57 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $32.98 | $46.81 | $32.98 – $88.28 |
| 20 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $35.38 | $50.21 | $35.38 – $94.69 |
| 21 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $38.98 | $55.32 | $38.98 – $104.33 |
| 22 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $41.98 | $59.57 | $41.98 – $112.35 |
| 23 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $41.98 | $59.57 | $41.98 – $112.35 |
| 24 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $41.98 | $59.57 | $41.98 – $112.35 |
Last updated: Jun 13, 2026
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