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
XR HIP W PEL UNI 1 V LT
SAN ANTONIO, TX
Negotiated rates from the hospital’s own file: 11 payers, 46 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 2 | First Health chipperinate fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | First Health mcdstar fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | UnitedHealthcare mcd fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 5 | First Health mcdstarkids fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 6 | First Health starplus fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Aetna Better Health chip fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Aetna Better Health chipepo fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Aetna Better Health chipperinate fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 10 | Aetna Better Health chpfc fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Aetna Better Health star fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Aetna Better Health star+plus fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Aetna Better Health starkids fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Molina chip fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Molina mcdstar fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Molina star+plus fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Molina starkids fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Humana mgmcd fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Aetna qhphix fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 20 | Aetna narrownetwork fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 21 | Aetna newbusinessrates fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 22 | Aetna commercialbasenetwork fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 23 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 24 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 25 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |