Calcium Chloride 10 at McCamey County Hospital District

McCamey, TX

Pricing by billing methodology

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Payers reporting CPT 12104 at McCamey County Hospital District

Negotiated rates from the hospital’s own file: 6 payers, 10 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 blue advantage hmo percent of total billed charges · outpatientfrom % of charges	$15	$15	$12	79%	—	$3 – $26
2	Superior Healthplan medicare advantage fee schedule · outpatient	$17	$17	$13	76%	—	$4 – $30
3	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$19	$19	$15	79%	—	$4 – $34
4	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$21	$21	$17	80%	—	$4 – $37
5	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$21	$21	$17	80%	—	$4 – $37
6	Blue Cross Blue Shield blue essentials percent of total billed charges · outpatientfrom % of charges	$21	$21	$17	80%	—	$4 – $37
7	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$22	$22	$17	77%	—	$5 – $39
8	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$22	$22	$17	77%	—	$5 – $39
9	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$24	$24	$19	79%	—	$5 – $43
10	Superior Healthplan commercial - exchange fee schedule · outpatient	$24	$24	$19	79%	—	$5 – $43

Last updated: Apr 21, 2026

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