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
FAM W PT 50 MIN
Georgetown, TX
See all hospitals reporting CPT 90847 →Price type
St. David's Georgetown Hospital’s median price of $164 is 12% below the median hospital's median price ($187), higher than 33% of the 1,682 hospitals reporting CPT 90847. 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, 38 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 | $24.00 | $24.00 | $24.00 – $24.00 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $24.00 | $24.00 | $24.00 – $24.00 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $24.00 | $24.00 | $24.00 – $24.00 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $24.00 | $24.00 | $24.00 – $24.00 |
| 5 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $71.52 | $71.52 | $71.52 – $71.52 |
| 6 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $81.60 | $81.60 | $81.60 – $81.60 |
| 7 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $81.60 | $81.60 | $81.60 – $81.60 |
| 8 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $81.60 | $81.60 | $81.60 – $81.60 |
| 9 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $84.00 | $84.00 | $84.00 – $84.00 |
| 10 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $92.16 | $92.16 | $92.16 – $92.16 |
| 11 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $92.16 | $92.16 | $92.16 – $92.16 |
| 12 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $102.72 | $102.72 | $102.72 – $102.72 |
| 13 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $102.72 | $102.72 | $102.72 – $102.72 |
| 14 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $102.72 | $102.72 | $102.72 – $102.72 |
| 15 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $119.52 | $119.52 | $119.52 – $119.52 |
| 16 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $130.56 | $130.56 | $130.56 – $130.56 |
| 17 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $130.56 | $130.56 | $130.56 – $130.56 |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $133.34 | $133.34 | $133.34 – $133.34 |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $133.34 | $133.34 | $133.34 – $133.34 |
| 20 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $139.68 | $139.68 | $139.68 – $139.68 |
| 21 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $140.16 | $140.16 | $140.16 – $140.16 |
| 22 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $144.00 | $144.00 | $144.00 – $144.00 |
| 23 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $149.76 | $149.76 | $149.76 – $149.76 |
| 24 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $153.12 | $153.12 | $153.12 – $153.12 |
| 25 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $154.08 | $154.08 | $154.08 – $154.08 |
Last updated: Sep 1, 2026
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