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
BDY SURF MAPG PM/CVDFB F/UP
Alice, TX
See all hospitals reporting CPT 0696T →Price type
Spohn Hospital Alice’s median price of $39 is 9% below the median hospital's median price ($43), higher than 35% of the 973 hospitals reporting CPT 0696T. 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, 14 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 mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Humana bh mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Humana gold choice mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Humana gold plus mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | WellCare mm fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Devoted mm fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 10 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 12 | Bcbs Tx heb fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 13 | Bcbs Tx ppo fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 14 | Bcbs Tx traditional fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
Last updated: Jan 13, 2026
See Follow-up body surface mapping for pacemaker or defibrillator pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.