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
US-GUIDE INTERRAD TX
Longview, TX
See all hospitals reporting CPT 76965 →Price type
Longview Medical Center LP’s median price of $428 is 95% above the median hospital's median price ($219), higher than 64% of the 1,554 hospitals reporting CPT 76965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 2 | Medicaid node tx medicaid facility · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 3 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 8 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 9 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 10 | Aetna node aetna mcr adv facility · other · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 11 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 12 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 13 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 14 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $428 | $428 | — | — | — | $428 – $428 |
| 15 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $783 | $783 | — | — | — | $783 – $783 |
| 16 | Cigna cigna all facility · other · outpatient | $893 | $893 | — | — | 1–10 | $893 – $893 |
| 17 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $900 | $900 | — | — | — | $900 – $900 |
| 18 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Aetna aetna all facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Aetna aetna first health facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | Aetna aetna auto facility · other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Apr 1, 2026
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