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
SET 12-18CM 4F .025IN 14
SAN ANTONIO, TX
See all hospitals reporting HCPCS C2625 →Price type
Methodist Hospital’s median price of $648 is 64% above the median hospital's median price ($394), higher than 69% of the 1,523 hospitals reporting HCPCS C2625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 32 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 | $240 | $240 | — | — | — | $240 – $240 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 4 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 5 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 6 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 7 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 8 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $527 | $527 | — | — | — | $527 – $527 |
| 9 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $539 | $539 | — | — | — | $539 – $539 |
| 10 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $583 | $583 | — | — | — | $583 – $583 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $246 | $606 | $615 | 102% | — | $135 – $3.3k |
| 12 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $615 | $615 | — | — | — | $615 – $615 |
| 13 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $639 | $639 | — | — | — | $639 – $639 |
| 14 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $639 | $639 | — | — | — | $639 – $639 |
| 15 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $284 | $698 | $709 | 102% | — | $155 – $3.8k |
| 16 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $285 | $700 | $711 | 102% | — | $155 – $3.8k |
| 17 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $290 | $712 | $723 | 102% | — | $158 – $3.9k |
| 18 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $715 | $715 | — | — | — | $715 – $715 |
| 19 | Aetna newbusinessrates percent of total billed charges · outpatientfrom % of charges | $770 | $770 | — | — | — | $770 – $770 |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $772 | $772 | — | — | — | $772 – $772 |
| 21 | Aetna commercialbasenetwork percent of total billed charges · outpatientfrom % of charges | $784 | $784 | — | — | — | $784 – $784 |
| 22 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $344 | $845 | $858 | 102% | — | $188 – $4.6k |
| 23 | First Health comm percent of total billed charges · outpatientfrom % of charges | $880 | $880 | — | — | — | $880 – $880 |
| 24 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $359 | $883 | $897 | 102% | — | $196 – $4.8k |
| 25 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $359 | $883 | $897 | 102% | — | $196 – $4.8k |
Last updated: May 1, 2026
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