Sacral nerve stimulation test lead at Shannon River Crest Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

KIT TEST BASIC EVAL TL-24

San Angelo, TX

See all hospitals reporting HCPCS A4290 →

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Pricing by billing methodology

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How this price compares nationally

Shannon River Crest Hospital’s median price of $920 is 416% above the median hospital's median price ($178), higher than 91% of the 393 hospitals reporting HCPCS A4290. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4290 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 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	$515	$515	—	—	—	$515 – $515
2	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$809	$809	—	—	—	$809 – $809
3	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$809	$809	—	—	—	$809 – $809
4	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$883	$883	—	—	—	$883 – $883
5	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
6	Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
7	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
8	Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
9	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
10	Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
11	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
12	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$920	$920	—	—	—	$920 – $920
13	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$957	$957	—	—	—	$957 – $957
14	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$957	$957	—	—	—	$957 – $957
15	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$981	$981	—	—	—	$981 – $981
16	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$981	$981	—	—	—	$981 – $981

Last updated: Dec 8, 2025

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