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
DGTZ GLS MCRSCP SLD LEVEL V
San Antonio, TX
See all hospitals reporting CPT 0754T →Price type
Santa Rosa Hospital - Alamo Heights’s median price of $898 is 1221% above the median hospital's median price ($68), higher than 83% of the 543 hospitals reporting CPT 0754T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 | $734.03 | $734.03 | $734.03 – $734.03 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $892.74 | $892.74 | $892.74 – $892.74 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $898.41 | $898.41 | $898.41 – $898.41 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $997.60 | $997.60 | $997.60 – $997.60 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $1,051 | $1,051 | $1,051 – $1,051 |
Last updated: Jan 13, 2026
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