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
WB/RBC LR FZ DEGLY WASH
SAN ANTONIO, TX
See all hospitals reporting HCPCS P9054 →Price type
Methodist Hospital Landmark’s median price of $799 is 151% above the median hospital's median price ($318), higher than 80% of the 1,153 hospitals reporting HCPCS P9054. 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, 30 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 | First Health chip percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $16 | 6% | — | $268 – $300 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $16 | 6% | — | $268 – $300 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $16 | 6% | — | $268 – $300 |
| 4 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $473 | $473 | $26 | 6% | — | $447 – $500 |
| 5 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $473 | $473 | $26 | 6% | — | $447 – $500 |
| 6 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $473 | $473 | $26 | 6% | — | $447 – $500 |
| 7 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $473 | $473 | $26 | 6% | — | $447 – $500 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $582 | $582 | $32 | 6% | — | $550 – $614 |
| 9 | Aetna qhphix fee schedule · outpatient | $615 | $615 | — | — | — | $615 – $615 |
| 10 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $684 | $684 | $38 | 6% | — | $646 – $722 |
| 11 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $691 | $691 | $38 | 6% | — | $653 – $729 |
| 12 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $698 | $698 | $39 | 6% | — | $660 – $737 |
| 13 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $729 | $729 | $40 | 6% | — | $689 – $769 |
| 14 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $757 | $757 | $42 | 6% | — | $715 – $799 |
| 15 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $757 | $757 | $42 | 6% | — | $715 – $799 |
| 16 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $828 | $828 | $46 | 6% | — | $783 – $874 |
| 17 | Aetna narrownetwork fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 18 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $866 | $866 | $48 | 6% | — | $818 – $914 |
| 19 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $866 | $866 | $48 | 6% | — | $818 – $914 |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $916 | $916 | $51 | 6% | — | $865 – $967 |
| 21 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $947 | $947 | $52 | 6% | — | $894 – $999 |
| 22 | Aetna newbusinessrates fee schedule · outpatient | $971 | $971 | — | — | — | $971 – $971 |
| 23 | Aetna commercialbasenetwork fee schedule · outpatient | $991 | $991 | — | — | — | $991 – $991 |
| 24 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $57 | 6% | — | $970 – $1.1k |
| 25 | First Health comm percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $58 | 6% | — | $986 – $1.1k |
Last updated: May 1, 2026
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