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
BRCHY ISO INTERMEDIATE
Georgetown, TX
See all hospitals reporting CPT 77317 →Price type
St. David's Georgetown Hospital’s median price of $655 is 28% above the median hospital's median price ($513), higher than 64% of the 1,648 hospitals reporting CPT 77317. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 ambetterepo percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $57 | 17% | — | $278 – $392 |
| 2 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $57 | 17% | — | $278 – $392 |
| 3 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $57 | 17% | — | $278 – $392 |
| 4 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $379 | $379 | $64 | 17% | — | $315 – $443 |
| 5 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $379 | $379 | $64 | 17% | — | $315 – $443 |
| 6 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $422 | $422 | $72 | 17% | — | $351 – $494 |
| 7 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $422 | $422 | $72 | 17% | — | $351 – $494 |
| 8 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $422 | $422 | $72 | 17% | — | $351 – $494 |
| 9 | Cigna newbusinessnetwork fee schedule · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 10 | Cigna hmo fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 11 | Cigna openaccess fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 12 | Cigna openaccessplus fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $491 | $491 | $83 | 17% | — | $408 – $574 |
| 14 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 15 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $548 | $548 | $93 | 17% | — | $455 – $641 |
| 16 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $548 | $548 | $93 | 17% | — | $455 – $641 |
| 17 | Cigna ppo fee schedule · outpatient | $573 | $573 | — | — | — | $573 – $573 |
| 18 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $574 | $574 | $97 | 17% | — | $477 – $671 |
| 19 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $592 | $592 | $100 | 17% | — | $491 – $692 |
| 21 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $629 | $629 | $107 | 17% | — | $523 – $736 |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $638 | $638 | — | — | — | $638 – $638 |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $638 | $638 | — | — | — | $638 – $638 |
| 24 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $686 | $686 | — | — | — | $686 – $686 |
| 25 | Blue Cross Blue Shield ppo fee schedule · outpatient | $733 | $733 | — | — | — | $733 – $733 |
Last updated: Sep 1, 2026
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