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
EP REPOS ELE VT 3D MAP
Plano, TX
See all hospitals reporting CPT 93654 →Price type
Medical City Plano’s median price of $59.7k is 131% above the median hospital's median price ($25.8k), higher than 99% of the 1,920 hospitals reporting CPT 93654. 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, 36 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 case rate · outpatient | $6.7k | $6.7k | $1.1k | 17% | — | $5.6k – $7.8k |
| 2 | Superior Healthplan mcdstar case rate · outpatient | $6.7k | $6.7k | $1.1k | 17% | — | $5.6k – $7.8k |
| 3 | Superior Healthplan starhealth case rate · outpatient | $6.7k | $6.7k | $1.1k | 17% | — | $5.6k – $7.8k |
| 4 | Superior Healthplan starkids case rate · outpatient | $6.7k | $6.7k | $1.1k | 17% | — | $5.6k – $7.8k |
| 5 | Superior Healthplan starplus case rate · outpatient | $6.7k | $6.7k | $1.1k | 17% | — | $5.6k – $7.8k |
| 6 | Oscar hix case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 7 | Humana comm fee schedule · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 8 | UnitedHealthcare smallgroup case rate · outpatient | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 9 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $22.0k | $22.0k | $1.6k | 7% | — | $20.4k – $23.6k |
| 10 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $22.8k | $22.8k | $1.7k | 7% | — | $21.1k – $24.5k |
| 11 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $25.3k | $25.3k | — | — | — | $25.3k – $25.3k |
| 12 | Healthcare Highways narrownetwork case rate · outpatient | $26.8k | $26.8k | — | — | — | $26.8k – $26.8k |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $28.3k | $28.3k | $2.1k | 7% | — | $26.3k – $30.4k |
| 14 | UnitedHealthcare allpayerappendix case rate · outpatient | $33.9k | $33.9k | — | — | — | $33.9k – $33.9k |
| 15 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $37.0k | $37.0k | — | — | 1–10 | $37.0k – $37.0k |
| 16 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $41.3k | $41.3k | — | — | — | $41.3k – $41.3k |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $41.3k | $41.3k | — | — | — | $41.3k – $41.3k |
| 18 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $42.1k | $42.1k | — | — | 1–10 | $42.1k – $42.1k |
| 19 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $46.1k | $46.1k | — | — | — | $46.1k – $46.1k |
| 20 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $46.1k | $46.1k | — | — | — | $46.1k – $46.1k |
| 21 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $48.8k | $48.8k | — | — | — | $48.8k – $48.8k |
| 22 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $48.8k | $48.8k | — | — | — | $48.8k – $48.8k |
| 23 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $51.3k | $51.3k | — | — | — | $51.3k – $51.3k |
| 24 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $51.5k | $51.5k | — | — | — | $51.5k – $51.5k |
| 25 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $51.5k | $51.5k | — | — | — | $51.5k – $51.5k |
Last updated: Mar 1, 2026
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