Glen Rose, TX
See all hospitals reporting CPT 54201 →Price type
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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $96.00 | $96.00 | $96.00 – $96.00 |
| 2 | Blue Cross Blue Shield pos percent of total billed charges · outpatientfrom % of charges | $102.00 | $102.00 | $102.00 – $102.00 |
| 3 | Aetna non hmo percent of total billed charges · outpatientfrom % of charges | $110.00 | $110.00 | $110.00 – $110.00 |
| 4 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $110.00 | $110.00 | $110.00 – $110.00 |
| 5 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $115.00 | $115.00 | $115.00 – $115.00 |
| 6 | Anthem amerihealth hmo percent of total billed charges · outpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 7 | Humana commercial hmo percent of total billed charges · outpatientfrom % of charges | $141.00 | $141.00 | $141.00 – $141.00 |
| 8 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $149.00 | $149.00 | $149.00 – $149.00 |
| 9 | Cigna flexcare fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
| 10 | Cigna hmo fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
| 11 | Cigna ppo fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
Last updated: Aug 21, 2026
See Coenzyme Q10 Total (So) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.