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
DSTR MAL LS F/E/E/N/L/M>4.0
Beeville, TX
See all hospitals reporting CPT 17286 →Price type
Spohn Hospital Beeville’s median price of $620 is 17% below the median hospital's median price ($744), higher than 36% of the 1,571 hospitals reporting CPT 17286. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 31 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 | Cigna new business case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 2 | Bcbs Tx star chip km fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 3 | Molina chip km fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Molina star km fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 5 | Molina star plus km fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 6 | Cigna ppo case rate · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 7 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Bcbs Tx hmo fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 10 | Bcbs Tx ppo fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 11 | UnitedHealthcare chip km case rate · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 12 | UnitedHealthcare star kids km case rate · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 13 | UnitedHealthcare star km case rate · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 14 | UnitedHealthcare star plus km case rate · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 16 | Humana choicecare other · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 17 | Aetna mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 18 | Bcbs Tx mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 19 | Humana bh mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 20 | Humana gold choice mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 21 | Humana gold plus mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 22 | Molina medicare adv mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 23 | UnitedHealthcare mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 24 | WellCare mm fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 25 | Devoted mm fee schedule · outpatient | $669 | $669 | — | — | — | $669 – $669 |
Last updated: Jan 13, 2026
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