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
ALYS SMPL CN NPG PRG 3 OR LESS
Pasadena, TX
See all hospitals reporting CPT 95976 →Price type
Pmc Hospital, Llc’s median price of $100 is 70% above the median hospital's median price ($59), higher than 72% of the 1,457 hospitals reporting CPT 95976. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 medicare|all plans case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Cigna Healthspring medicare|all plans case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Humana medicare|all plans case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Aetna medicare|all plans case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | UnitedHealthcare medicare|all plans case rate · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Ambetter commercial|all plans case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 10 | Cigna commercial|hmo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Cigna commercial|ppo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 12 | Cigna commercial|surefit fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 14 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 15 | Cigna commercial|transplant fee schedule · outpatient | $370 | $370 | $28 | 8% | — | $341 – $398 |
| 16 | First Health commercial|all plans fee schedule · inpatient | $370 | $370 | — | — | — | $370 – $370 |
| 17 | First Health commercial|all plans fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 18 | Cigna commercial|transplant fee schedule · inpatient | $398 | $398 | — | — | — | $398 – $398 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $427 | $427 | — | — | — | $427 – $427 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 21 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $579 | $579 | — | — | — | $579 – $579 |
| 22 | UnitedHealthcare commercial|charter fee schedule · outpatient | $855 | $855 | — | — | — | $855 – $855 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $951 | $951 | — | — | — | $951 – $951 |
| 24 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $951 | $951 | — | — | — | $951 – $951 |
Last updated: Feb 28, 2026
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