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 VERSITI COMP 3111, CPT 86901
Temple, TX
See all hospitals reporting CPT 86901 →Price type
Baylor Scott & White Medical Center - Temple’s median price of $10 is 72% below the median hospital's median price ($37), higher than 21% of the 2,579 hospitals reporting CPT 86901. 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, 25 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 | $2.51 | $2.51 | $2.51 – $2.51 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $2.69 | $2.69 | $2.69 – $2.69 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $2.84 | $2.84 | $2.84 – $2.84 |
| 4 | Humana medicare facility · fee schedule · outpatient | $2.99 | $2.99 | $2.99 – $2.99 |
| 5 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $2.99 | $2.99 | $2.99 – $2.99 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $3.14 | $3.14 | $3.14 – $3.14 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $3.35 | $3.35 | $3.35 – $3.35 |
| 8 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $3.59 | $3.59 | $3.59 – $3.59 |
| 9 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $3.75 | $3.75 | $3.75 – $3.75 |
| 10 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $4.93 | $4.93 | $4.93 – $4.93 |
| 11 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $5.46 | $5.46 | $5.46 – $5.46 |
| 12 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $6.42 | $6.42 | $6.42 – $6.42 |
| 13 | UnitedHealthcare commercial facility · fee schedule · outpatient | $12.00 | $12.00 | $12.00 – $12.00 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $75.84 | $60.07 | $3.14 – $122.36 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $83.09 | $65.81 | $3.44 – $134.06 |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $89.14 | $70.60 | $3.69 – $143.81 |
| 17 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $98.20 | $77.78 | $4.06 – $158.44 |
| 18 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $105.76 | $83.77 | $4.38 – $170.62 |
| 19 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $105.76 | $83.77 | $4.38 – $170.62 |
| 20 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $105.76 | $83.77 | $4.38 – $170.62 |
| 21 | Humana tricare facility · other · outpatient | $151.08 | $151.08 | $151.08 – $151.08 |
| 22 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $172.83 | $172.83 | $172.83 – $172.83 |
| 23 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $175.17 | $175.17 | $175.17 – $175.17 |
| 24 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $200.25 | $200.25 | $200.25 – $200.25 |
| 25 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $210.94 | $210.94 | $210.94 – $210.94 |
Last updated: Jun 13, 2026
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