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
LVL 1 HOSP TYPE B ED VST
Georgetown, TX
See all hospitals reporting HCPCS G0380 →Price type
St. David's Georgetown Hospital’s median price of $252 is 145% above the median hospital's median price ($103), higher than 74% of the 863 hospitals reporting HCPCS G0380. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 50 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 | UnitedHealthcare mgmcd fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Blue Cross Blue Shield chip fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Blue Cross Blue Shield mcd fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Molina chip fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Molina mcdstar fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Molina star+plus fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Molina starkids fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Humana mgmcd fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Aetna Better Health mcd fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 10 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 11 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 13 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 14 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 15 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Blue Cross Blue Shield mybluehealth case rate · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 17 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 18 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 19 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 20 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 21 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 22 | Oscar hix case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 23 | Oscar hmo case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 24 | Blue Cross Blue Shield blueadvantage case rate · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 25 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
Last updated: Sep 1, 2026
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