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
REPL PPM LDLS DUL V ONLY
Georgetown, TX
See all hospitals reporting CPT 0803T →Price type
St. David's Georgetown Hospital’s median price of $12.3k is 36% below the median hospital's median price ($19.3k), higher than 12% of the 1,278 hospitals reporting CPT 0803T. 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 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 9 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 10 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 11 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 12 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 13 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 14 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 15 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 17 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 18 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 19 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 20 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 22 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
| 23 | UnitedHealthcare narrownetworkhix case rate · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 24 | UnitedHealthcare smallgroup case rate · outpatient | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 25 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $21.7k | $20.9k | $1.8k | 8% | — | $18.4k – $22.5k |
Last updated: Sep 1, 2026
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