Pten Duplication/delet Var(so) at Somervell County Hospital District dba Glen Rose Medical Center

Glen Rose, TX

Pricing by billing methodology

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Payers reporting CPT 32301 at Somervell County Hospital District dba Glen Rose Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 11 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	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$458	$458	—	—	—	$458 – $458
2	Blue Cross Blue Shield pos percent of total billed charges · outpatientfrom % of charges	$488	$488	—	—	—	$488 – $488
3	Aetna non hmo percent of total billed charges · outpatientfrom % of charges	$525	$525	—	—	—	$525 – $525
4	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$525	$525	—	—	—	$525 – $525
5	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$548	$548	—	—	—	$548 – $548
6	Anthem amerihealth hmo percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
7	Humana commercial hmo percent of total billed charges · outpatientfrom % of charges	$675	$675	—	—	—	$675 – $675
8	Humana ppo percent of total billed charges · outpatientfrom % of charges	$713	$713	—	—	—	$713 – $713
9	Cigna flexcare fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
10	Cigna hmo fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
11	Cigna ppo fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k

Last updated: Aug 21, 2026

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