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
EXC TR-EXT B9+MARG 0.6-1 CM
San Antonio, TX
See all hospitals reporting CPT 11401 →Price type
Santa Rosa Emergency Center - Alon’s median price of $375 is 26% below the median hospital's median price ($507), higher than 23% of the 2,297 hospitals reporting CPT 11401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 30 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 | Aetna chip km fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 2 | Aetna star km fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 3 | Bcbs Tx star chip km fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 4 | Molina chip km fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 5 | Molina star plus km fee schedule · outpatient | $89.14 | $89.14 | $89.14 – $89.14 |
| 6 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $95.90 | $95.90 | $95.90 – $95.90 |
| 7 | Bcbs Tx hmo fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 8 | Bcbs Tx heb fee schedule · outpatient | $126.46 | $126.46 | $126.46 – $126.46 |
| 9 | Bcbs Tx ppo fee schedule · outpatient | $140.16 | $140.16 | $140.16 – $140.16 |
| 10 | Bcbs Tx traditional fee schedule · outpatient | $144.37 | $144.37 | $144.37 – $144.37 |
| 11 | UnitedHealthcare chip km case rate · outpatient | $271.37 | $271.37 | $271.37 – $271.37 |
| 12 | UnitedHealthcare star km case rate · outpatient | $271.37 | $271.37 | $271.37 – $271.37 |
| 13 | UnitedHealthcare star plus km case rate · outpatient | $271.37 | $271.37 | $271.37 – $271.37 |
| 14 | Humana choicecare other · outpatient | $290.00 | $290.00 | $290.00 – $290.00 |
| 15 | Aetna mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 16 | Bcbs Tx mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 17 | Humana gold choice mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 18 | Humana gold plus mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 19 | Molina medicare adv mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 20 | UnitedHealthcare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 21 | WellCare mm fee schedule · outpatient | $375.15 | $375.15 | $375.15 – $375.15 |
| 22 | Devoted mm fee schedule · outpatient | $405.16 | $405.16 | $405.16 – $405.16 |
| 23 | UnitedHealthcare all payer case rate · outpatient | $1,082 | $1,082 | $1,082 – $1,082 |
| 24 | Aetna new business case rate · outpatient | $1,612 | $1,612 | $1,612 – $1,612 |
| 25 | Aetna epo case rate · outpatient | $1,791 | $1,791 | $1,791 – $1,791 |
Last updated: Jan 13, 2026
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