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
LAP IMPL ELECTRODE ANTRUM
San Antonio, TX
See all hospitals reporting CPT 43647 →Price type
Santa Rosa Emergency Center - Alon’s median price of $11.7k is 1% below the median hospital's median price ($11.9k), higher than 48% of the 1,352 hospitals reporting CPT 43647. 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, 23 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 | Humana choicecare other · outpatient | $4,890 | $4,890 | $4,890 – $4,890 |
| 2 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $5,630 | $5,630 | $5,630 – $5,630 |
| 3 | Healthcare Highways ppo case rate · outpatient | $6,782 | $6,782 | $6,782 – $6,782 |
| 4 | Bcbs Tx hmo fee schedule · outpatient | $7,239 | $7,239 | $7,239 – $7,239 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $7,425 | $7,425 | $7,425 – $7,425 |
| 6 | Aetna new business case rate · outpatient | $7,975 | $7,975 | $7,975 – $7,975 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $8,229 | $8,229 | $8,229 – $8,229 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $8,476 | $8,476 | $8,476 – $8,476 |
| 9 | Aetna epo case rate · outpatient | $8,861 | $8,861 | $8,861 – $8,861 |
| 10 | Aetna hmo case rate · outpatient | $8,861 | $8,861 | $8,861 – $8,861 |
| 11 | Aetna pos case rate · outpatient | $8,861 | $8,861 | $8,861 – $8,861 |
| 12 | Aetna ppo case rate · outpatient | $8,861 | $8,861 | $8,861 – $8,861 |
| 13 | Aetna mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 14 | Bcbs Tx mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 15 | Humana gold choice mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 16 | Humana gold plus mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 17 | Molina medicare adv mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 19 | WellCare mm fee schedule · outpatient | $11,709 | $11,709 | $11,709 – $11,709 |
| 20 | Devoted mm fee schedule · outpatient | $12,646 | $12,646 | $12,646 – $12,646 |
| 21 | Cigna new business case rate · outpatient | $13,002 | $13,002 | $13,002 – $13,002 |
| 22 | Cigna ppo case rate · outpatient | $16,505 | $16,505 | $16,505 – $16,505 |
| 23 | UnitedHealthcare all payer case rate · outpatient | $21,777 | $21,777 | $21,777 – $21,777 |
Last updated: Jan 13, 2026
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