Diagnostic stomach tube with sample collection at Spohn Hospital Alice

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DX GASTR INTUB W/ASP SPEC

Alice, TX

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Pricing by billing methodology

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How this price compares nationally

Spohn Hospital Alice’s median price of $340 is 3% above the median hospital's median price ($331), higher than 52% of the 1,580 hospitals reporting CPT 43754. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43754 at Spohn Hospital Alice

Negotiated rates from the hospital’s own file: 8 payers, 23 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	Humana choicecare other · outpatient	$166	$166	—	—	—	$166 – $166
2	Aetna mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
3	Bcbs Tx mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
4	Humana bh mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
5	Humana gold choice mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
6	Humana gold plus mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
7	Molina medicare adv mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
8	UnitedHealthcare mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
9	WellCare mm fee schedule · outpatient	$315	$315	—	—	—	$315 – $315
10	Devoted mm fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
11	Bcbs Tx hmo fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
12	Bcbs Tx blue advantage hmo fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
13	Bcbs Tx heb fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
14	Bcbs Tx ppo fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
15	Bcbs Tx traditional fee schedule · outpatient	$521	$521	—	—	—	$521 – $521
16	UnitedHealthcare hix case rate · outpatient	$958	$958	—	—	—	$958 – $958
17	UnitedHealthcare all payer case rate · outpatient	$996	$996	—	—	—	$996 – $996
18	Cigna new business case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Cigna ppo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Aetna new business case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
21	Aetna hmo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Aetna pos case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Aetna ppo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k

Last updated: Jan 13, 2026

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