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
PERC D-DEL BLN SEP LD59
SAN ANTONIO, TX
See all hospitals reporting CPT 0914T →Price type
Metropolitan Methodist’s median price of $4.2k is 14% above the median hospital's median price ($3.7k), higher than 53% of the 1,146 hospitals reporting CPT 0914T. 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, 30 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 qhphix case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | First Health chip percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.5k | $415 | 29% | — | $918 – $1.8k |
| 3 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.5k | $415 | 29% | — | $918 – $1.8k |
| 4 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.5k | $415 | 29% | — | $918 – $1.8k |
| 5 | Aetna narrownetwork case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | UnitedHealthcare smallgroup case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | UnitedHealthcare charter case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | UnitedHealthcare nexusaco case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | UnitedHealthcare allpayerappendix case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Aetna newbusinessrates case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Aetna commercialbasenetwork case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Aetna oon case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.0k | $850 | 29% | — | $1.9k – $3.6k |
| 14 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $4.0k | $3.3k | $933 | 29% | — | $2.1k – $4.0k |
| 15 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $4.3k | $3.5k | $999 | 29% | — | $2.2k – $4.3k |
| 16 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $4.3k | $3.5k | $1.0k | 29% | — | $2.2k – $4.3k |
| 17 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $4.4k | $3.6k | $1.0k | 29% | — | $2.3k – $4.4k |
| 18 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $4.6k | $3.7k | $1.1k | 29% | — | $2.4k – $4.6k |
| 19 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $4.7k | $3.9k | $1.1k | 29% | — | $2.4k – $4.7k |
| 20 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $4.7k | $3.9k | $1.1k | 29% | — | $2.4k – $4.7k |
| 21 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $5.2k | $4.2k | $1.2k | 29% | — | $2.7k – $5.2k |
| 22 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $5.4k | $4.4k | $1.3k | 29% | — | $2.8k – $5.4k |
| 23 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $5.4k | $4.4k | $1.3k | 29% | — | $2.8k – $5.4k |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $5.7k | $4.7k | $1.3k | 29% | — | $3.0k – $5.7k |
| 25 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $5.9k | $4.8k | $1.4k | 29% | — | $3.1k – $5.9k |
Last updated: May 1, 2026
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