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
NFCT DS BACT&FNG GRAM NEG
San Antonio, TX
See all hospitals reporting CPT 0142U →Price type
Santa Rosa Emergency Center - Alon’s median price of $161 is about the same as the median hospital's median price ($161), higher than 48% of the 1,321 hospitals reporting CPT 0142U. 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 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $90.18 | $90.18 | $90.18 – $90.18 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $109.83 | $109.83 | $109.83 – $109.83 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $111.24 | $111.24 | $111.24 – $111.24 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $123.52 | $123.52 | $123.52 – $123.52 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $130.18 | $130.18 | $130.18 – $130.18 |
| 6 | Aetna mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 7 | Bcbs Tx mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 8 | Humana gold choice mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 9 | Humana gold plus mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 10 | Molina medicare adv mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 11 | UnitedHealthcare mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 12 | WellCare mm fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 13 | Devoted mm fee schedule · outpatient | $169.29 | $169.29 | $169.29 – $169.29 |
| 14 | Aetna new business fee schedule · outpatient | $279.34 | $279.34 | $279.34 – $279.34 |
| 15 | Aetna epo fee schedule · outpatient | $310.38 | $310.38 | $310.38 – $310.38 |
| 16 | Aetna hmo fee schedule · outpatient | $310.38 | $310.38 | $310.38 – $310.38 |
| 17 | Aetna pos fee schedule · outpatient | $310.38 | $310.38 | $310.38 – $310.38 |
| 18 | Aetna ppo fee schedule · outpatient | $310.38 | $310.38 | $310.38 – $310.38 |
| 19 | UnitedHealthcare all payer fee schedule · outpatient | $1,627 | $1,627 | $1,627 – $1,627 |
Last updated: Jan 13, 2026
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