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
FAM W PT 50 MIN
PASADENA, TX
See all hospitals reporting CPT 90847 →Price type
Hca Houston Healthcare Southeast’s median price of $118 is 37% below the median hospital's median price ($187), higher than 15% of the 1,682 hospitals reporting CPT 90847. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 37 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 chip percent of total billed charges · outpatientfrom % of charges | $20.64 | $20.64 | $20.64 – $20.64 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $20.64 | $20.64 | $20.64 – $20.64 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $20.64 | $20.64 | $20.64 – $20.64 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $20.64 | $20.64 | $20.64 – $20.64 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $20.64 | $20.64 | $20.64 – $20.64 |
| 6 | Humana hmo fee schedule · outpatient | $36.14 | $36.14 | $36.14 – $36.14 |
| 7 | Humana ppo fee schedule · outpatient | $36.14 | $36.14 | $36.14 – $36.14 |
| 8 | Cigna csn percent of total billed charges · outpatientfrom % of charges | $50.91 | $50.91 | $50.91 – $50.91 |
| 9 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $55.04 | $55.04 | $55.04 – $55.04 |
| 10 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $56.07 | $56.07 | $56.07 – $56.07 |
| 11 | Blue Cross Blue Shield bav percent of total billed charges · outpatientfrom % of charges | $61.92 | $61.92 | $61.92 – $61.92 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $65.36 | $65.36 | $65.36 – $65.36 |
| 13 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $67.08 | $67.08 | $67.08 – $67.08 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $69.49 | $69.49 | $69.49 – $69.49 |
| 15 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $77.40 | $77.40 | $77.40 – $77.40 |
| 16 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $79.12 | $79.12 | $79.12 – $79.12 |
| 17 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $80.50 | $80.50 | $80.50 – $80.50 |
| 18 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $87.72 | $87.72 | $87.72 – $87.72 |
| 19 | Aetna qhpexchange percent of total billed charges · outpatientfrom % of charges | $91.16 | $91.16 | $91.16 – $91.16 |
| 20 | Aetna nbhmo percent of total billed charges · outpatientfrom % of charges | $110.42 | $110.42 | $110.42 – $110.42 |
| 21 | Aetna nbpos percent of total billed charges · outpatientfrom % of charges | $110.42 | $110.42 | $110.42 – $110.42 |
| 22 | Aetna nbppo percent of total billed charges · outpatientfrom % of charges | $110.42 | $110.42 | $110.42 – $110.42 |
| 23 | Aetna commhmo percent of total billed charges · outpatientfrom % of charges | $117.65 | $117.65 | $117.65 – $117.65 |
| 24 | Aetna commpos percent of total billed charges · outpatientfrom % of charges | $117.65 | $117.65 | $117.65 – $117.65 |
| 25 | Aetna commppo percent of total billed charges · outpatientfrom % of charges | $117.65 | $117.65 | $117.65 – $117.65 |
Last updated: Mar 1, 2026
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