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
MDI DEM/EVAL
SAN ANTONIO, TX
Negotiated rates from the hospital’s own file: 8 payers, 31 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip percent of total billed charges · outpatientfrom % of charges | $124 | $124 | $5 | 4% | — | $119 – $129 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $124 | $124 | $5 | 4% | — | $119 – $129 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $124 | $124 | $5 | 4% | — | $119 – $129 |
| 4 | Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $8 | 4% | — | $199 – $215 |
| 5 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $8 | 4% | — | $199 – $215 |
| 6 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $8 | 4% | — | $199 – $215 |
| 7 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $8 | 4% | — | $199 – $215 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $254 | $254 | $10 | 4% | — | $245 – $264 |
| 9 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $273 | $273 | $11 | 4% | — | $263 – $284 |
| 10 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $279 | $279 | $11 | 4% | — | $268 – $290 |
| 11 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $302 | $302 | $12 | 4% | — | $290 – $314 |
| 12 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $305 | $305 | $12 | 4% | — | $293 – $317 |
| 13 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $331 | $331 | $13 | 4% | — | $318 – $344 |
| 15 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $331 | $331 | $13 | 4% | — | $318 – $344 |
| 16 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $370 | $370 | $14 | 4% | — | $356 – $384 |
| 17 | Aetna newbusinessrates percent of total billed charges · outpatientfrom % of charges | $399 | $399 | $15 | 4% | — | $384 – $415 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $400 | $400 | $15 | 4% | — | $385 – $416 |
| 19 | Aetna commercialbasenetwork percent of total billed charges · outpatientfrom % of charges | $406 | $406 | $16 | 4% | — | $391 – $422 |
| 20 | First Health comm percent of total billed charges · outpatientfrom % of charges | $456 | $456 | $18 | 4% | — | $439 – $474 |
| 21 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 22 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $465 | $465 | $18 | 4% | — | $447 – $483 |
| 23 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $478 | $478 | $18 | 4% | — | $459 – $496 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $517 | $517 | $20 | 4% | — | $497 – $537 |
| 25 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $607 | $607 | — | — | — | $607 – $607 |