Drainage of the tear sac 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

INCISE/DRAIN TEAR SAC

Beeville, TX

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How this price compares nationally

Spohn Hospital Beeville’s median price of $2.2k is 12% below the median hospital's median price ($2.4k), higher than 32% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68420 at Spohn Hospital Beeville

Negotiated rates from the hospital’s own file: 9 payers, 32 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	UnitedHealthcare chip km fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
2	UnitedHealthcare star kids km fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
3	UnitedHealthcare star km fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
4	UnitedHealthcare star plus km fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
5	Bcbs Tx star chip km fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
6	Molina chip km fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
7	Molina star km fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
8	Molina star plus km fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$292	$292	—	—	—	$292 – $292
10	Bcbs Tx hmo fee schedule · outpatient	$324	$324	—	—	—	$324 – $324
11	Bcbs Tx heb fee schedule · outpatient	$339	$339	—	—	—	$339 – $339
12	Bcbs Tx ppo fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
13	Bcbs Tx traditional fee schedule · outpatient	$479	$479	—	—	—	$479 – $479
14	Humana choicecare other · outpatient	$805	$805	—	—	—	$805 – $805
15	Healthcare Highways ppo case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	UnitedHealthcare hix case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
17	UnitedHealthcare all payer case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
18	Aetna new business case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Aetna hmo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
20	Aetna pos case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
21	Aetna ppo case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Aetna mm fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
23	Bcbs Tx mm fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
24	Humana bh mm fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
25	Humana gold choice mm fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

Page 1 of 2 · 32 rates

Last updated: Jan 13, 2026

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