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
XCAPSL CTRC RMVL W/O ECP
Beaumont, TX
See all hospitals reporting CPT 66984 →Price type
CHRISTUS West Beaumont’s median price of $2.3k is 17% below the median hospital's median price ($2.8k), higher than 31% of the 1,862 hospitals reporting CPT 66984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 30 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 | $892.44 | $892.44 | $892.44 – $892.44 |
| 2 | Molina star km fee schedule · outpatient | $892.44 | $892.44 | $892.44 – $892.44 |
| 3 | Molina star plus km fee schedule · outpatient | $892.44 | $892.44 | $892.44 – $892.44 |
| 4 | UnitedHealthcare chip km case rate · outpatient | $946.74 | $946.74 | $946.74 – $946.74 |
| 5 | UnitedHealthcare star kid km case rate · outpatient | $946.74 | $946.74 | $946.74 – $946.74 |
| 6 | UnitedHealthcare star km case rate · outpatient | $946.74 | $946.74 | $946.74 – $946.74 |
| 7 | UnitedHealthcare star plus km case rate · outpatient | $946.74 | $946.74 | $946.74 – $946.74 |
| 8 | Aetna mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 9 | Bcbs Tx mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 10 | Humana gold choice mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 11 | Molina medicare adv mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 13 | WellCare mm fee schedule · outpatient | $2,284 | $2,284 | $2,284 – $2,284 |
| 14 | Devoted mm fee schedule · outpatient | $2,467 | $2,467 | $2,467 – $2,467 |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $2,810 | $2,810 | $2,810 – $2,810 |
| 16 | Bcbs Tx hmo fee schedule · outpatient | $2,810 | $2,810 | $2,810 – $2,810 |
| 17 | UnitedHealthcare hix case rate · outpatient | $2,831 | $2,831 | $2,831 – $2,831 |
| 18 | Aetna new business case rate · outpatient | $3,058 | $3,058 | $3,058 – $3,058 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $3,114 | $3,114 | $3,114 – $3,114 |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $3,336 | $3,336 | $3,336 – $3,336 |
| 21 | Aetna epo case rate · outpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 22 | Aetna hmo case rate · outpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 23 | Aetna pos case rate · outpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 24 | Aetna ppo case rate · outpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 25 | Bcbs Tx traditional fee schedule · outpatient | $3,457 | $3,457 | $3,457 – $3,457 |
Last updated: Jan 13, 2026
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