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
INS/RPL PRPH SAC/GSTR NPG/R
San Angelo, TX
See all hospitals reporting CPT 64590 →Price type
Shannon River Crest Hospital’s median price of $32.8k is 75% above the median hospital's median price ($18.7k), higher than 92% of the 1,870 hospitals reporting CPT 64590. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 2 | Humana medicare advantage facility · case rate · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 3 | Ambetter ppo facility · case rate · outpatient | $43.3k | $43.3k | — | — | — | $43.3k – $43.3k |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $52.2k | $52.2k | — | — | — | $52.2k – $52.2k |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $54.9k | $54.9k | — | — | — | $54.9k – $54.9k |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $54.9k | $54.9k | — | — | — | $54.9k – $54.9k |
Last updated: Dec 8, 2025
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