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
ICR W/WO MONITOR WO EXER
Georgetown, TX
See all hospitals reporting HCPCS G0423 →Price type
St. David's Georgetown Hospital’s median price of $239 is 62% above the median hospital's median price ($147), higher than 83% of the 1,109 hospitals reporting HCPCS G0423. 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 | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 10 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 11 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 12 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 14 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 15 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 16 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 17 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 18 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 19 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 20 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 21 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 22 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 24 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $291 | $291 | — | — | — | $291 – $291 |
| 25 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
Last updated: Sep 1, 2026
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