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
NJX AA&/STRD PLTR COM DG NRV
Beeville, TX
See all hospitals reporting CPT 64455 →Price type
Spohn Hospital Beeville’s median price of $299 is 17% below the median hospital's median price ($359), higher than 34% of the 1,913 hospitals reporting CPT 64455. 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 | Bcbs Tx star chip km fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Molina chip km fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Molina star km fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Molina star plus km fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Bcbs Tx heb fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Bcbs Tx ppo fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Bcbs Tx traditional fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Cigna new business case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 11 | Humana choicecare other · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 12 | Cigna ppo case rate · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 13 | UnitedHealthcare chip km case rate · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 14 | UnitedHealthcare star kids km case rate · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 15 | UnitedHealthcare star km case rate · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 16 | UnitedHealthcare star plus km case rate · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 17 | Aetna mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 18 | Bcbs Tx mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 19 | Humana bh mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 20 | Humana gold choice mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 21 | Humana gold plus mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 22 | Molina medicare adv mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 23 | UnitedHealthcare mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 24 | WellCare mm fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 25 | Devoted mm fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
Last updated: Jan 13, 2026
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