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’s median price of $715 is 124% above the median hospital's median price ($320), higher than 78% of the 1,150 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: 10 payers, 38 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 | Aetna Better Health chip fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Aetna Better Health chipepo fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Aetna Better Health chipperinate fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Aetna Better Health chpfc fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Aetna Better Health star fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 6 | Aetna Better Health star+plus fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Aetna Better Health starkids fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 8 | First Health chip percent of total billed charges · outpatientfrom % of charges | $268 | $252 | $47 | 19% | — | $187 – $300 |
| 9 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $268 | $252 | $47 | 19% | — | $187 – $300 |
| 10 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $268 | $252 | $47 | 19% | — | $187 – $300 |
| 11 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $447 | $420 | $79 | 19% | — | $312 – $500 |
| 12 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $447 | $420 | $79 | 19% | — | $312 – $500 |
| 13 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $447 | $420 | $79 | 19% | — | $312 – $500 |
| 14 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $447 | $420 | $79 | 19% | — | $312 – $500 |
| 15 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $561 | $527 | $99 | 19% | — | $392 – $627 |
| 16 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $646 | $606 | $114 | 19% | — | $451 – $722 |
| 17 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $648 | $608 | $114 | 19% | — | $453 – $724 |
| 18 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $653 | $613 | $115 | 19% | — | $456 – $729 |
| 19 | Aetna qhphix fee schedule · outpatient | $615 | $615 | — | — | — | $615 – $615 |
| 20 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $660 | $619 | $116 | 19% | — | $461 – $737 |
| 21 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $689 | $646 | $122 | 19% | — | $481 – $769 |
| 22 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $715 | $671 | $126 | 19% | — | $500 – $799 |
| 23 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $715 | $671 | $126 | 19% | — | $500 – $799 |
| 24 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $783 | $734 | $138 | 19% | — | $546 – $874 |
| 25 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $818 | $768 | $144 | 19% | — | $571 – $914 |
Last updated: May 1, 2026
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