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
HST TYPE4 UNATT >=3 CHNL
Jourdanton, TX
See all hospitals reporting HCPCS G0400 →Price type
Methodist Hospital Atascosa’s median price of $585 is 91% above the median hospital's median price ($307), higher than 88% of the 1,186 hospitals reporting HCPCS G0400. 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, 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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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 3 | Aetna qhphix fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 4 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 5 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 6 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 7 | First Health chip percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 8 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 9 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 11 | Aetna narrownetwork fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 12 | Aetna newbusinessrates fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 13 | Aetna commercialbasenetwork fee schedule · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 14 | Aetna oon fee schedule · outpatient | $598 | $598 | — | — | — | $598 – $598 |
| 15 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $603 | $603 | — | — | — | $603 – $603 |
| 16 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $603 | $603 | — | — | — | $603 – $603 |
| 17 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $603 | $603 | — | — | — | $603 – $603 |
| 18 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $603 | $603 | — | — | — | $603 – $603 |
| 19 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $741 | $741 | — | — | — | $741 – $741 |
| 20 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $814 | $814 | — | — | — | $814 – $814 |
| 21 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $880 | $880 | — | — | — | $880 – $880 |
| 22 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 23 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $928 | $928 | — | — | — | $928 – $928 |
| 24 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
| 25 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
Last updated: May 1, 2026
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