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
Oct skn img acquisj i&r addl
Levelland, TX
Negotiated rates from the hospital’s own file: 1 payer, 4 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 ers hmo fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 2 | Blue Cross Blue Shield hmo fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Blue Cross Blue Shield traditional fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 4 | Blue Cross Blue Shield ppo fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |