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
INS PPM LDLS DUL V ONLY
Georgetown, TX
See all hospitals reporting CPT 0797T →Price type
St. David's Georgetown Hospital’s median price of $14.5k is 25% below the median hospital's median price ($19.4k), higher than 17% of the 1,333 hospitals reporting CPT 0797T. 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, 34 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $1,612 | $1,612 | $1,612 – $1,612 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $1,612 | $1,612 | $1,612 – $1,612 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $1,612 | $1,612 | $1,612 – $1,612 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $1,612 | $1,612 | $1,612 – $1,612 |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $5,480 | $5,480 | $5,480 – $5,480 |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $5,480 | $5,480 | $5,480 – $5,480 |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $5,480 | $5,480 | $5,480 – $5,480 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $8,027 | $8,027 | $8,027 – $8,027 |
| 9 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $8,955 | $8,955 | $8,955 – $8,955 |
| 10 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $8,955 | $8,955 | $8,955 – $8,955 |
| 11 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $10,284 | $10,284 | $10,284 – $10,284 |
| 12 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $10,348 | $10,348 | $10,348 – $10,348 |
| 13 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $11,025 | $11,025 | $11,025 – $11,025 |
| 14 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $11,025 | $11,025 | $11,025 – $11,025 |
| 15 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $11,025 | $11,025 | $11,025 – $11,025 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $13,217 | $13,217 | $13,217 – $13,217 |
| 17 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $14,507 | $14,507 | $14,507 – $14,507 |
| 18 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $14,539 | $14,539 | $14,539 – $14,539 |
| 19 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $14,668 | $14,668 | $14,668 – $14,668 |
| 20 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $14,668 | $14,668 | $14,668 – $14,668 |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $17,118 | $17,118 | $17,118 – $17,118 |
| 22 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $17,279 | $17,279 | $17,279 – $17,279 |
| 23 | UnitedHealthcare narrownetworkhix case rate · outpatient | $18,068 | $18,068 | $18,068 – $18,068 |
| 24 | UnitedHealthcare smallgroup case rate · outpatient | $18,350 | $18,350 | $18,350 – $18,350 |
| 25 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $21,728 | $20,900 | $18,440 – $22,534 |
Last updated: Sep 1, 2026
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