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
DUP AO/IVC/IV/BPG LTD
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.
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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | First Health chipperinate fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | First Health mcdstar fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | UnitedHealthcare mcd fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | First Health mcdstarkids fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 6 | First Health starplus fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Molina chip fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Molina mcdstar fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 9 | Molina star+plus fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 10 | Molina starkids fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 11 | Aetna Better Health chip fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 12 | Aetna Better Health chipepo fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 13 | Aetna Better Health chipperinate fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 14 | Aetna Better Health chpfc fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 15 | Aetna Better Health star fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 16 | Aetna Better Health star+plus fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 17 | Aetna Better Health starkids fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 18 | Humana mgmcd fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 19 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $278 | $278 | — | — | — | $278 – $278 |
| 20 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $13 | 4% | — | $295 – $321 |
| 21 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $13 | 4% | — | $295 – $321 |
| 22 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $13 | 4% | — | $295 – $321 |
| 23 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $13 | 4% | — | $295 – $321 |
| 24 | Cigna newbusinessnetwork fee schedule · outpatient | $362 | $362 | — | — | — | $362 – $362 |
| 25 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |