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
ICD PSI V-190HV3
SAN ANTONIO, TX
See all hospitals reporting HCPCS C1722 →Price type
Methodist Hospital’s median price of $34.8k is 55% above the median hospital's median price ($22.5k), higher than 77% of the 1,347 hospitals reporting HCPCS C1722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 optionsppo percent of total billed charges · outpatientfrom % of charges | $16.6k | $18.9k | $7.8k | 41% | — | $0 – $48.8k |
| 2 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $19.1k | $21.8k | $9.0k | 41% | — | $0 – $56.2k |
| 3 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $19.2k | $21.8k | $9.0k | 41% | — | $0 – $56.4k |
| 4 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $19.5k | $22.2k | $9.1k | 41% | — | $0 – $57.3k |
| 5 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $23.1k | $26.4k | $10.9k | 41% | — | $0 – $68.0k |
| 6 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $24.2k | $27.6k | $11.3k | 41% | — | $0 – $71.2k |
| 7 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $24.2k | $27.6k | $11.3k | 41% | — | $0 – $71.2k |
| 8 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $26.4k | $30.1k | $12.4k | 41% | — | $0 – $77.8k |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $28.7k | $32.7k | $13.5k | 41% | — | $0 – $84.4k |
| 10 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $33.1k | $37.7k | $15.5k | 41% | — | $1 – $97.2k |
| 11 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $49.6k | $56.5k | $23.3k | 41% | — | $1 – $145.8k |
| 12 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $56.2k | $64.0k | $26.4k | 41% | — | $1 – $165.2k |
| 13 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $66.1k | $75.3k | $31.0k | 41% | — | $1 – $194.4k |
Last updated: May 1, 2026
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