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
DUP AB/PEL/SC COMP
Georgetown, TX
See all hospitals reporting CPT 93975 →Price type
St. David's Georgetown Hospital’s median price of $409 is 11% below the median hospital's median price ($462), higher than 45% of the 2,576 hospitals reporting CPT 93975. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 47 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 | $66 | $66 | $20 | 30% | — | $46 – $86 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $66 | $66 | $20 | 30% | — | $46 – $86 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $66 | $66 | $20 | 30% | — | $46 – $86 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $66 | $66 | $20 | 30% | — | $46 – $86 |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $225 | $225 | $67 | 30% | — | $158 – $292 |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $225 | $225 | $67 | 30% | — | $158 – $292 |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $225 | $225 | $67 | 30% | — | $158 – $292 |
| 8 | UnitedHealthcare mgmcd fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 9 | Blue Cross Blue Shield chip fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 10 | Blue Cross Blue Shield mcd fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 11 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $254 | $254 | $76 | 30% | — | $178 – $330 |
| 12 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $254 | $254 | $76 | 30% | — | $178 – $330 |
| 13 | Molina chip fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 14 | Molina mcdstar fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 15 | Molina star+plus fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 16 | Molina starkids fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 17 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $85 | 30% | — | $199 – $368 |
| 18 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $85 | 30% | — | $199 – $368 |
| 19 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $85 | 30% | — | $199 – $368 |
| 20 | Humana mgmcd fee schedule · outpatient | $292 | $292 | — | — | — | $292 – $292 |
| 21 | Aetna Better Health mcd fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 22 | Cigna newbusinessnetwork fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 23 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $330 | $330 | $98 | 30% | — | $231 – $428 |
| 24 | Cigna hmo fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 25 | Cigna openaccess fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
Last updated: Sep 1, 2026
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