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
TRNSPLJ DON-DRV CLL-FR DNA
San Antonio, TX
See all hospitals reporting CPT 0118U →Price type
Santa Rosa Emergency Center - Alon’s median price of $3.0k is 4% above the median hospital's median price ($2.9k), higher than 65% of the 1,293 hospitals reporting CPT 0118U. 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, 19 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 | UnitedHealthcare all payer fee schedule · outpatient | $255.43 | $255.43 | $255.43 – $255.43 |
| 2 | Aetna mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 3 | Bcbs Tx mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 4 | Humana gold choice mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 5 | Humana gold plus mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 8 | WellCare mm fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 9 | Devoted mm fee schedule · outpatient | $2,974 | $2,974 | $2,974 – $2,974 |
| 10 | Aetna new business fee schedule · outpatient | $4,906 | $4,906 | $4,906 – $4,906 |
| 11 | Aetna epo fee schedule · outpatient | $5,451 | $5,451 | $5,451 – $5,451 |
| 12 | Aetna hmo fee schedule · outpatient | $5,451 | $5,451 | $5,451 – $5,451 |
| 13 | Aetna pos fee schedule · outpatient | $5,451 | $5,451 | $5,451 – $5,451 |
| 14 | Aetna ppo fee schedule · outpatient | $5,451 | $5,451 | $5,451 – $5,451 |
| 15 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $8,327 | $8,327 | $8,327 – $8,327 |
| 16 | Bcbs Tx hmo fee schedule · outpatient | $10,141 | $10,141 | $10,141 – $10,141 |
| 17 | Bcbs Tx heb fee schedule · outpatient | $10,271 | $10,271 | $10,271 – $10,271 |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $11,405 | $11,405 | $11,405 – $11,405 |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $12,020 | $12,020 | $12,020 – $12,020 |
Last updated: Jan 13, 2026
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