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
REM OCT RTA DEV SETUP&EDUCAJ
Alice, TX
See all hospitals reporting CPT 0604T →Price type
Spohn Hospital Alice’s median price of $596 is 221% above the median hospital's median price ($185), higher than 99% of the 776 hospitals reporting CPT 0604T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 blue advantage hmo fee schedule · outpatient | $515 | $515 | — | — | — | $515 – $515 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $556 | $556 | — | — | — | $556 – $556 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $596 | $596 | — | — | — | $596 – $596 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $628 | $628 | — | — | — | $628 – $628 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $664 | $664 | — | — | — | $664 – $664 |
Last updated: Jan 13, 2026
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