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 Comp Ep Eval Lv Pac & Rec
San Angelo, TX
See all hospitals reporting CPT 93622 →Price type
Shannon River Crest Hospital’s median price of $16.3k is 261% above the median hospital's median price ($4.5k), higher than 90% of the 1,671 hospitals reporting CPT 93622. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Bcbs Tx hmo facility · fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
Last updated: Dec 8, 2025
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