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 Drug Assay Felbamate - 80167
San Angelo, TX
See all hospitals reporting CPT 80167 →Price type
Shannon River Crest Hospital’s median price of $48 is 115% above the median hospital's median price ($22), higher than 78% of the 1,967 hospitals reporting CPT 80167. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Humana medicare advantage facility · case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Cigna ppo facility · case rate · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Ambetter ppo facility · case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Bcbs Tx hmo facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Bcbs Tx bav facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 18 | Bcbs Tx ppo facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
Last updated: Dec 8, 2025
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