THERMAL BALLOON CATH at St. David's Georgetown Hospital

Georgetown, TX

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Pricing by billing methodology

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Payers reporting HCPCS C1723 at St. David's Georgetown Hospital

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	$157	$144	$25	17%	—	$110 – $166
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$157	$144	$25	17%	—	$110 – $166
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$157	$144	$25	17%	—	$110 – $166
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$157	$144	$25	17%	—	$110 – $166
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$467	$430	$73	17%	—	$328 – $496
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$532	$491	$83	17%	—	$374 – $565
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$532	$491	$83	17%	—	$374 – $565
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$532	$491	$83	17%	—	$374 – $565
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$548	$505	$86	17%	—	$385 – $582
10	Oscar hix percent of total billed charges · outpatientfrom % of charges	$601	$554	$94	17%	—	$423 – $639
11	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$601	$554	$94	17%	—	$423 – $639
12	Oscar epo percent of total billed charges · outpatientfrom % of charges	$670	$618	$105	17%	—	$471 – $712
13	Oscar pos percent of total billed charges · outpatientfrom % of charges	$670	$618	$105	17%	—	$471 – $712
14	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$670	$618	$105	17%	—	$471 – $712
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$780	$719	$122	17%	—	$548 – $828
16	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$852	$785	$134	17%	—	$599 – $905
17	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$852	$785	$134	17%	—	$599 – $905
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$870	$802	$136	17%	—	$611 – $924
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$870	$802	$136	17%	—	$611 – $924
20	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$911	$840	$143	17%	—	$640 – $968
21	Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges	$914	$843	$143	17%	—	$643 – $971
22	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$939	$866	$147	17%	—	$660 – $998
23	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$977	$900	$153	17%	—	$687 – $1.0k
24	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$999	$921	$157	17%	—	$702 – $1.1k
25	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$1.0k	$926	$158	17%	—	$707 – $1.1k

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Last updated: Sep 1, 2026

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