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
Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)
Jourdanton, TX
Negotiated rates from the hospital’s own file: 7 payers, 31 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | First Health chipperinate fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | First Health mcdstar fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Molina chiphmo fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Molina chipperinate fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Molina star fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Molina star+plus fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 8 | UnitedHealthcare mcd fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Aetna Better Health chip fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Aetna Better Health chipepo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Aetna Better Health chipperinate fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Aetna Better Health chpfc fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Aetna Better Health star fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 14 | Aetna Better Health star+plus fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 15 | Aetna Better Health starkids fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 16 | Humana mgmcd fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Aetna qhphix fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 18 | Aetna narrownetwork fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 19 | Aetna newbusinessrates fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Aetna commercialbasenetwork fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 21 | Aetna oon fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 22 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 23 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 24 | UnitedHealthcare charter fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 25 | UnitedHealthcare nexusaco fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |