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
DBRDMT PRMLG LES W/PDT
Orange, TX
See all hospitals reporting CPT 96574 →Price type
CHRISTUS Hospital - Orange’s median price of $215 is 24% below the median hospital's median price ($283), higher than 25% of the 1,368 hospitals reporting CPT 96574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 19 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 | Aetna mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Humana gold choice mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 6 | WellCare mm fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Devoted mm fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 8 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $785 | $785 | — | — | — | $785 – $785 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $833 | $833 | — | — | — | $833 – $833 |
| 14 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Aetna ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
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