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
HST TYPE4 UNATT >=3 CHNL
Georgetown, TX
See all hospitals reporting HCPCS G0400 →Price type
St. David's Georgetown Hospital’s median price of $713 is 133% above the median hospital's median price ($307), higher than 93% of the 1,186 hospitals reporting HCPCS G0400. 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 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 6 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 7 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $404 | $404 | — | — | — | $404 – $404 |
| 8 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $404 | $404 | — | — | — | $404 – $404 |
| 9 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $404 | $404 | — | — | — | $404 – $404 |
| 10 | Aetna narrownetwork fee schedule · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 11 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 12 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 13 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $509 | $509 | — | — | — | $509 – $509 |
| 14 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $509 | $509 | — | — | — | $509 – $509 |
| 15 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $509 | $509 | — | — | — | $509 – $509 |
| 16 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $592 | $592 | — | — | — | $592 – $592 |
| 17 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 18 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 19 | Aetna comm fee schedule · outpatient | $595 | $595 | — | — | — | $595 – $595 |
| 20 | Aetna meritain fee schedule · outpatient | $595 | $595 | — | — | — | $595 – $595 |
| 21 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $638 | $638 | — | — | — | $638 – $638 |
| 22 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $660 | $660 | — | — | — | $660 – $660 |
| 23 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $660 | $660 | — | — | — | $660 – $660 |
| 24 | Blue Cross Blue Shield ppo fee schedule · outpatient | $682 | $682 | — | — | — | $682 – $682 |
| 25 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $692 | $692 | — | — | — | $692 – $692 |
Last updated: Sep 1, 2026
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