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
HC 11406 EXC LES B9MARG T/A/L; > 4.0 CM
San Antonio, TX
See all hospitals reporting CPT 11406 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $1.5k is 16% below the median hospital's median price ($1.8k), higher than 30% of the 2,294 hospitals reporting CPT 11406. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 35 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 | UnitedHealthcare chip km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 2 | UnitedHealthcare star km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 3 | UnitedHealthcare star plus km case rate · outpatient | $363.36 | $363.36 | $363.36 – $363.36 |
| 4 | Aetna chip km fee schedule · outpatient | $486.45 | $486.45 | $486.45 – $486.45 |
| 5 | Aetna star km fee schedule · outpatient | $486.45 | $486.45 | $486.45 – $486.45 |
| 6 | Bcbs Tx star chip km fee schedule · outpatient | $486.45 | $486.45 | $486.45 – $486.45 |
| 7 | Molina chip km fee schedule · outpatient | $486.45 | $486.45 | $486.45 – $486.45 |
| 8 | Molina star plus km fee schedule · outpatient | $486.45 | $486.45 | $486.45 – $486.45 |
| 9 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $1,249 | $1,249 | $1,249 – $1,249 |
| 10 | Aetna mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 12 | Humana gold choice mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 13 | Humana gold plus mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 14 | Molina medicare adv mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 15 | UnitedHealthcare mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 16 | WellCare mm fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 17 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $1,537 | $1,537 | $1,537 – $1,537 |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $1,606 | $1,606 | $1,606 – $1,606 |
| 19 | Devoted mm fee schedule · outpatient | $1,643 | $1,643 | $1,643 – $1,643 |
| 20 | Bcbs Tx heb fee schedule · outpatient | $1,647 | $1,647 | $1,647 – $1,647 |
| 21 | Humana choicecare other · outpatient | $1,672 | $1,672 | $1,672 – $1,672 |
| 22 | Bcbs Tx ppo fee schedule · outpatient | $1,826 | $1,826 | $1,826 – $1,826 |
| 23 | Bcbs Tx traditional fee schedule · outpatient | $1,880 | $1,880 | $1,880 – $1,880 |
| 24 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $2,081 | $2,081 | $2,081 – $2,081 |
| 25 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $2,081 | $2,081 | $2,081 – $2,081 |
Last updated: Jan 13, 2026
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