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
NJX AA&/STRD GNCLR NRV BRNCH
San Angelo, TX
See all hospitals reporting CPT 64454 →Price type
Shannon River Crest Hospital’s median price of $969 is 8% above the median hospital's median price ($896), higher than 54% of the 2,086 hospitals reporting CPT 64454. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 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 | Molina managed medicaid facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Bcbs Tx hmo facility · fee schedule · outpatient | $428 | $428 | — | — | — | $428 – $428 |
| 3 | Bcbs Tx bav facility · fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 4 | Bcbs Tx ppo facility · fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 5 | Humana medicare advantage facility · case rate · outpatient | $650 | $650 | — | — | — | $650 – $650 |
| 6 | Cigna ppo facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Ambetter ppo facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Dec 8, 2025
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