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
GCBC PEG ADSORP
San Augustine, TX
See all hospitals reporting CPT 86978 →Price type
Memorial Medical Center San Augustine’s median price of $88 is 16% above the median hospital's median price ($75), higher than 60% of the 2,192 hospitals reporting CPT 86978. 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, 22 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 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $23.76 | $23.52 | $21.66 – $24.89 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $30.36 | $30.05 | $27.68 – $31.80 |
| 3 | Aetna commercial|all plans fee schedule · inpatient | $33.00 | $32.66 | $30.08 – $34.56 |
| 4 | Aetna commercial|all plans fee schedule · outpatient | $33.00 | $32.66 | $30.08 – $34.56 |
| 5 | Aetna medicare|all plans case rate · outpatient | $53.94 | $53.94 | $53.94 – $53.94 |
| 6 | Humana medicare|all plans case rate · outpatient | $53.94 | $53.94 | $53.94 – $53.94 |
| 7 | Cigna Healthspring medicare|all other plans case rate · outpatient | $56.64 | $56.64 | $56.64 – $56.64 |
| 8 | Cigna Healthspring medicare|ppo case rate · outpatient | $57.18 | $57.18 | $57.18 – $57.18 |
| 9 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $58.96 | $58.96 | $58.96 – $58.96 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $58.96 | $58.96 | $58.96 – $58.96 |
| 11 | Blue Cross Blue Shield commercial|blue advantage hmo fee schedule · outpatient | $63.52 | $63.52 | $63.52 – $63.52 |
| 12 | Phcs commercial|all plans fee schedule · outpatient | $89.76 | $88.84 | $81.82 – $94.01 |
| 13 | Humana commercial|all plans fee schedule · inpatient | $92.40 | $91.45 | $84.23 – $96.77 |
| 14 | Humana commercial|all plans fee schedule · outpatient | $92.40 | $91.45 | $84.23 – $96.77 |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $92.40 | $91.45 | $84.23 – $96.77 |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $92.40 | $91.45 | $84.23 – $96.77 |
| 17 | Phcs commercial|all plans fee schedule · inpatient | $105.60 | $104.52 | $96.26 – $110.60 |
| 18 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $110.32 | $110.32 | $110.32 – $110.32 |
| 19 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $117.01 | $117.01 | $117.01 – $117.01 |
| 20 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $131.53 | $129.61 | $120.32 – $135.06 |
| 21 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $132.00 | $130.64 | $120.32 – $138.24 |
| 22 | Cigna commercial|all plans fee schedule · outpatient | $152.54 | $152.54 | $152.54 – $152.54 |
Last updated: Feb 28, 2026
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