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 TX AMBLYOPIA SETUP&EDU
Alice, TX
See all hospitals reporting CPT 0704T →Price type
Spohn Hospital Alice’s median price of $178 is 26% above the median hospital's median price ($141), higher than 67% of the 246 hospitals reporting CPT 0704T. 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 | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
Last updated: Jan 13, 2026
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