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
New Braunfels, TX
See all hospitals reporting CPT 0754T →Price type
Santa Rosa Hospital - New Braunfels’s median price of $1.3k is 1771% above the median hospital's median price ($68), higher than 93% 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 advantage hmo fee schedule · outpatient | $1,139 | $1,139 | $1,139 – $1,139 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $1,256 | $1,256 | $1,256 – $1,256 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $1,273 | $1,273 | $1,273 – $1,273 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $1,417 | $1,417 | $1,417 – $1,417 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $1,488 | $1,488 | $1,488 – $1,488 |
Last updated: Jan 12, 2026
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