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 94640 MDI/NEB INITIAL
Beaumont, TX
See all hospitals reporting CPT 94640 →Price type
Christus Health Southeast Texas’s median price of $220 is 5% above the median hospital's median price ($209), higher than 56% of the 2,511 hospitals reporting CPT 94640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $71.50 | $71.50 | $48.80 – $94.20 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $71.50 | $71.50 | $48.80 – $94.20 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $71.50 | $71.50 | $48.80 – $94.20 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $71.50 | $71.50 | $48.80 – $94.20 |
| 5 | Humana choicecare per diem · outpatient | $184.00 | $184.00 | $184.00 – $184.00 |
| 6 | Aetna mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 7 | Bcbs Tx mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 8 | Humana gold choice mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 9 | Molina medicare adv mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 11 | WellCare mm fee schedule · outpatient | $203.72 | $203.72 | $203.72 – $203.72 |
| 12 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $214.50 | $214.50 | $146.40 – $282.60 |
| 13 | Molina star km percent of total billed charges · outpatientfrom % of charges | $214.50 | $214.50 | $146.40 – $282.60 |
| 14 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $214.50 | $214.50 | $146.40 – $282.60 |
| 15 | Devoted mm fee schedule · outpatient | $220.02 | $220.02 | $220.02 – $220.02 |
| 16 | UnitedHealthcare hix fee schedule · outpatient | $227.00 | $227.00 | $227.00 – $227.00 |
| 17 | Cigna new business fee schedule · outpatient | $245.00 | $245.00 | $245.00 – $245.00 |
| 18 | Cigna ppo fee schedule · outpatient | $313.00 | $313.00 | $313.00 – $313.00 |
| 19 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $321.75 | $321.75 | $219.60 – $423.90 |
| 20 | UnitedHealthcare all payer fee schedule · outpatient | $356.00 | $356.00 | $356.00 – $356.00 |
| 21 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $443.30 | $443.30 | $302.56 – $584.04 |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $464.75 | $464.75 | $317.20 – $612.30 |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $464.75 | $464.75 | $317.20 – $612.30 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $464.75 | $464.75 | $317.20 – $612.30 |
| 25 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $493.35 | $493.35 | $336.72 – $649.98 |
Last updated: Jan 13, 2026
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