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 Ext Arterial -Av Graft
San Angelo, TX
See all hospitals reporting CPT 93990 →Price type
Shannon River Crest Hospital’s median price of $384 is 90% above the median hospital's median price ($202), higher than 70% of the 2,200 hospitals reporting CPT 93990. 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 | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Ambetter ppo facility · case rate · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 7 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $541 | $541 | — | — | — | $541 – $541 |
| 10 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 11 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $586 | $586 | — | — | — | $586 – $586 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $586 | $586 | — | — | 1–10 | $586 – $586 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $601 | $601 | — | — | — | $601 – $601 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $601 | $601 | — | — | — | $601 – $601 |
Last updated: Dec 8, 2025
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