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 - Dsmt Individual 30m
San Angelo, TX
See all hospitals reporting HCPCS G0108 →Price type
Shannon River Crest Hospital’s median price of $113 is 60% above the median hospital's median price ($71), higher than 80% of the 1,963 hospitals reporting HCPCS G0108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Ambetter ppo facility · case rate · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 9 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 10 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 11 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 15 | Bcbs Tx hmo facility · fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 16 | Bcbs Tx bav facility · fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 17 | Bcbs Tx ppo facility · fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
Last updated: Dec 8, 2025
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