ON-Q pain relief pump, double silver type 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SYSTEM PUMP 2ML/HR 100ML

Georgetown, TX

See all hospitals reporting HCPCS C9804 →

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Pricing by billing methodology

Price type

How this price compares nationally

St. David's Georgetown Hospital’s median price of $915 is 55% above the median hospital's median price ($591), higher than 72% of the 398 hospitals reporting HCPCS C9804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9804 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	$134	$134	—	—	—	$134 – $134
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$455	$455	—	—	—	$455 – $455
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$468	$468	—	—	—	$468 – $468
10	Oscar hix percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
11	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
12	Oscar epo percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
13	Oscar pos percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
14	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$666	$666	—	—	—	$666 – $666
16	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$728	$728	—	—	—	$728 – $728
17	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$728	$728	—	—	—	$728 – $728
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
20	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$779	$779	—	—	—	$779 – $779
21	Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges	$781	$781	—	—	—	$781 – $781
22	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$803	$803	—	—	—	$803 – $803
23	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$835	$835	—	—	—	$835 – $835
24	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$854	$854	—	—	—	$854 – $854
25	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$859	$859	—	—	—	$859 – $859

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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