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
SP CHG TUBE/DRN W/C
San Antonio, TX
See all hospitals reporting CPT 75984 →Price type
Methodist Hospital Stone Oak’s median price of $660 is 100% above the median hospital's median price ($331), higher than 75% of the 1,966 hospitals reporting CPT 75984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 mybluehealth fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 3 | Aetna qhphix fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 4 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 5 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 6 | First Health chip percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $13 | 5% | — | $257 – $282 |
| 7 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $13 | 5% | — | $257 – $282 |
| 8 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $13 | 5% | — | $257 – $282 |
| 9 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $292 | $292 | — | — | — | $292 – $292 |
| 10 | Aetna narrownetwork fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 12 | Aetna newbusinessrates fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 13 | Aetna commercialbasenetwork fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 14 | Aetna oon fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 15 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $564 | $564 | $26 | 5% | — | $538 – $591 |
| 16 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $607 | $607 | $28 | 5% | — | $579 – $636 |
| 17 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $657 | $657 | $31 | 5% | — | $626 – $687 |
| 18 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $663 | $663 | $31 | 5% | — | $632 – $694 |
| 19 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $693 | $693 | $32 | 5% | — | $660 – $725 |
| 20 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $720 | $720 | $34 | 5% | — | $686 – $753 |
| 21 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $720 | $720 | $34 | 5% | — | $686 – $753 |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $870 | $870 | $41 | 5% | — | $830 – $911 |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $53 | 5% | — | $1.1k – $1.2k |
| 24 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $79 | 5% | — | $1.6k – $1.8k |
| 25 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $89 | 5% | — | $1.8k – $2.0k |
Last updated: May 1, 2026
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