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
CLOSTRIDIUM TOXIN A W/OPTIC
San Angelo, TX
See all hospitals reporting CPT 87803 →Price type
Shannon River Crest Hospital’s median price of $26 is 57% above the median hospital's median price ($17), higher than 84% of the 1,369 hospitals reporting CPT 87803. 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 | Humana medicare advantage facility · case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Cigna ppo facility · case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Ambetter ppo facility · case rate · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Bcbs Tx hmo facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Bcbs Tx bav facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Bcbs Tx ppo facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
Last updated: Dec 8, 2025
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