Lung surfactant medication, per 0.5 cc 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

Surfactor /nudyn per 0.5 cc

San Angelo, TX

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How this price compares nationally

Shannon River Crest Hospital’s median price of $12 is 67% below the median hospital's median price ($35), higher than 11% of the 208 hospitals reporting HCPCS Q4233. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4233 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 1 payer, 3 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	$11	$11	—	—	—	$11 – $11
2	Bcbs Tx bav facility · fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
3	Bcbs Tx ppo facility · fee schedule · outpatient	$12	$12	—	—	—	$12 – $12

Last updated: Dec 8, 2025

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