Spleen imaging scan at St. David's Georgetown Hospital

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

NM SPLEEN W&W/O FLOW

Georgetown, TX

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Pricing by billing methodology

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $629 is 41% above the median hospital's median price ($447), higher than 78% of the 1,545 hospitals reporting CPT 78185. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 78185 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 11 payers, 45 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	$109	$109	—	—	—	$109 – $109
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
5	Blue Cross Blue Shield chip fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
6	Blue Cross Blue Shield mcd fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
7	UnitedHealthcare mgmcd fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
8	Molina chip fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
9	Molina mcdstar fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
10	Molina star+plus fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
11	Molina starkids fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
12	Humana mgmcd fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
13	Aetna Better Health mcd fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
14	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
15	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
16	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
17	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
18	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
19	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
20	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
21	Blue Cross Blue Shield eposoa fee schedule · outpatient	$448	$448	—	—	—	$448 – $448
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$484	$484	—	—	—	$484 – $484
23	Cigna newbusinessnetwork fee schedule · outpatient	$492	$492	—	—	—	$492 – $492
24	Cigna hmo fee schedule · outpatient	$531	$531	—	—	—	$531 – $531
25	Cigna openaccess fee schedule · outpatient	$531	$531	—	—	—	$531 – $531

Page 1 of 2 · 45 rates

Last updated: Sep 1, 2026

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