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
EXC TR-EXT B9+MARG 0.6-1 CM
Texarkana, TX
See all hospitals reporting CPT 11401 →Price type
CHRISTUS Health - Pine Street’s median price of $392 is 23% below the median hospital's median price ($507), higher than 27% 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: 6 payers, 23 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 | Molina chip km fee schedule · outpatient | $93.60 | $93.60 | $93.60 – $93.60 |
| 2 | Molina healthspring star plus km fee schedule · outpatient | $93.60 | $93.60 | $93.60 – $93.60 |
| 3 | Molina star km fee schedule · outpatient | $93.60 | $93.60 | $93.60 – $93.60 |
| 4 | Molina star plus km fee schedule · outpatient | $93.60 | $93.60 | $93.60 – $93.60 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $114.86 | $114.86 | $114.86 – $114.86 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $124.35 | $124.35 | $124.35 – $124.35 |
| 7 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $127.51 | $127.51 | $127.51 – $127.51 |
| 8 | Bcbs Tx ppo fee schedule · outpatient | $166.50 | $166.50 | $166.50 – $166.50 |
| 9 | UnitedHealthcare chip km case rate · outpatient | $269.64 | $269.64 | $269.64 – $269.64 |
| 10 | UnitedHealthcare star kid km case rate · outpatient | $269.64 | $269.64 | $269.64 – $269.64 |
| 11 | UnitedHealthcare star km case rate · outpatient | $269.64 | $269.64 | $269.64 – $269.64 |
| 12 | UnitedHealthcare star plus km case rate · outpatient | $269.64 | $269.64 | $269.64 – $269.64 |
| 13 | Bcbs Tx heb fee schedule · outpatient | $279.26 | $279.26 | $279.26 – $279.26 |
| 14 | Humana choicecare other · outpatient | $347.00 | $347.00 | $347.00 – $347.00 |
| 15 | Aetna mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 16 | Bcbs Tx mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 17 | Humana choicecare network mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 18 | Molina medicare adv mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 19 | UnitedHealthcare mm fee schedule · outpatient | $392.22 | $392.22 | $392.22 – $392.22 |
| 20 | UnitedHealthcare hix case rate · outpatient | $952.00 | $952.00 | $952.00 – $952.00 |
| 21 | UnitedHealthcare all payer case rate · outpatient | $1,479 | $1,479 | $1,479 – $1,479 |
| 22 | Aetna ppo case rate · outpatient | $4,162 | $4,162 | $4,162 – $4,162 |
| 23 | Cigna ppo case rate · outpatient | $4,754 | $4,754 | $4,754 – $4,754 |
Last updated: Jan 14, 2026
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