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 76830 US TRVG
San Antonio, TX
See all hospitals reporting CPT 76830 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $135 is 37% below the median hospital's median price ($214), higher than 26% of the 2,592 hospitals reporting CPT 76830. 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 | Aetna mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 3 | Humana gold choice mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 4 | Humana gold plus mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 5 | Molina medicare adv mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 7 | WellCare mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 8 | Devoted mm fee schedule · outpatient | $107.84 | $107.84 | $107.84 – $107.84 |
| 9 | UnitedHealthcare chip km fee schedule · outpatient | $114.46 | $114.46 | $114.46 – $114.46 |
| 10 | UnitedHealthcare star km fee schedule · outpatient | $114.46 | $114.46 | $114.46 – $114.46 |
| 11 | UnitedHealthcare star plus km fee schedule · outpatient | $114.46 | $114.46 | $114.46 – $114.46 |
| 12 | Aetna chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 13 | Aetna star km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 14 | Bcbs Tx star chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 15 | Molina chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 16 | Molina star plus km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 17 | Aetna new business fee schedule · outpatient | $196.83 | $196.83 | $196.83 – $196.83 |
| 18 | Aetna epo fee schedule · outpatient | $218.70 | $218.70 | $218.70 – $218.70 |
| 19 | Aetna hmo fee schedule · outpatient | $218.70 | $218.70 | $218.70 – $218.70 |
| 20 | Aetna pos fee schedule · outpatient | $218.70 | $218.70 | $218.70 – $218.70 |
| 21 | Aetna ppo fee schedule · outpatient | $218.70 | $218.70 | $218.70 – $218.70 |
| 22 | Humana choicecare fee schedule · outpatient | $225.73 | $225.73 | $225.73 – $225.73 |
| 23 | Cigna new business fee schedule · outpatient | $259.90 | $259.90 | $259.90 – $259.90 |
| 24 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $272.85 | $272.85 | $272.85 – $272.85 |
| 25 | Cigna ppo fee schedule · outpatient | $329.14 | $329.14 | $329.14 – $329.14 |
Last updated: Jan 13, 2026
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