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
INS LEADLESS PPM DUAL
FT WORTH, TX
See all hospitals reporting CPT 0795T →Price type
Medical City Fort Worth’s median price of $21.8k is 10% above the median hospital's median price ($19.9k), higher than 64% of the 1,503 hospitals reporting CPT 0795T. 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, 42 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 bluepremier fee schedule · outpatient | $1,600 | $1,600 | $1,600 – $1,600 |
| 2 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $5,826 | $5,826 | $5,826 – $5,826 |
| 3 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $5,826 | $5,826 | $5,826 – $5,826 |
| 4 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $5,826 | $5,826 | $5,826 – $5,826 |
| 5 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $5,826 | $5,826 | $5,826 – $5,826 |
| 6 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $5,826 | $5,826 | $5,826 – $5,826 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $11,236 | $11,236 | $11,236 – $11,236 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $11,652 | $11,652 | $11,652 – $11,652 |
| 9 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $12,694 | $12,694 | $12,694 – $12,694 |
| 10 | UnitedHealthcare smallgroup case rate · outpatient | $13,381 | $13,381 | $13,381 – $13,381 |
| 11 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $13,567 | $13,567 | $13,567 – $13,567 |
| 12 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $15,648 | $15,648 | $15,648 – $15,648 |
| 13 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $17,312 | $17,312 | $17,312 – $17,312 |
| 14 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $19,809 | $19,809 | $19,809 – $19,809 |
| 15 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $19,837 | $19,837 | $19,837 – $19,837 |
| 16 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $19,837 | $19,837 | $19,837 – $19,837 |
| 17 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $20,392 | $20,392 | $20,392 – $20,392 |
| 18 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $20,821 | $20,821 | $20,821 – $20,821 |
| 19 | UnitedHealthcare allpayerappendix case rate · outpatient | $21,258 | $21,258 | $21,258 – $21,258 |
| 20 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $21,307 | $21,307 | $21,307 – $21,307 |
| 21 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $21,307 | $21,307 | $21,307 – $21,307 |
| 22 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $21,394 | $21,394 | $21,394 – $21,394 |
| 23 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $21,394 | $21,394 | $21,394 – $21,394 |
| 24 | Cigna localplus case rate · outpatient | $21,804 | $21,804 | $21,804 – $21,804 |
| 25 | Blue Cross Blue Shield ppo fee schedule · outpatient | $21,805 | $21,805 | $21,805 – $21,805 |
Last updated: Mar 1, 2026
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