Palate repair surgery at Spohn Hospital Beeville

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

REPAIR LAC PALATE<2 CM

Beeville, TX

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Pricing by billing methodology

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How this price compares nationally

Spohn Hospital Beeville’s median price of $515 is 20% below the median hospital's median price ($647), higher than 28% of the 1,600 hospitals reporting CPT 42180. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42180 at Spohn Hospital Beeville

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	Bcbs Tx star chip km fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
2	Molina chip km fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
3	Molina star km fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
4	Molina star plus km fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
5	UnitedHealthcare chip km case rate · outpatient	$274	$274	—	—	—	$274 – $274
6	UnitedHealthcare star kids km case rate · outpatient	$274	$274	—	—	—	$274 – $274
7	UnitedHealthcare star km case rate · outpatient	$274	$274	—	—	—	$274 – $274
8	UnitedHealthcare star plus km case rate · outpatient	$274	$274	—	—	—	$274 – $274
9	Aetna mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
10	Bcbs Tx mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
11	Humana bh mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
12	Humana gold choice mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
13	Humana gold plus mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
14	Molina medicare adv mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
15	UnitedHealthcare mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
16	WellCare mm fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
17	Bcbs Tx blue advantage hmo fee schedule · outpatient	$526	$526	—	—	—	$526 – $526
18	Devoted mm fee schedule · outpatient	$557	$557	—	—	—	$557 – $557
19	Bcbs Tx hmo fee schedule · outpatient	$583	$583	—	—	—	$583 – $583
20	Bcbs Tx heb fee schedule · outpatient	$610	$610	—	—	—	$610 – $610
21	Bcbs Tx ppo fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
22	Humana choicecare other · outpatient	$662	$662	—	—	—	$662 – $662
23	Bcbs Tx traditional fee schedule · outpatient	$861	$861	—	—	—	$861 – $861
24	UnitedHealthcare hix case rate · outpatient	$958	$958	—	—	—	$958 – $958
25	UnitedHealthcare all payer case rate · outpatient	$996	$996	—	—	—	$996 – $996

Page 1 of 2 · 31 rates

Last updated: Jan 13, 2026

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