Unlisted fluoroscopy procedure at St.davids Surgical 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

UL FLUORO PROCEDURE

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

St.davids Surgical Hospital’s median price of $115 is 13% below the median hospital's median price ($132), higher than 42% of the 1,634 hospitals reporting CPT 76496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76496 at St.davids Surgical 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	$33	$33	$33	100%	—	$0 – $67
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$33	$33	$33	100%	—	$0 – $67
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$33	$33	$33	100%	—	$0 – $67
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$33	$33	$33	100%	—	$0 – $67
5	Cigna newbusinessnetwork fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
6	Humana mgmcd fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
7	Aetna Better Health mcd fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
8	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$113	$113	$113	100%	—	$0 – $227
9	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$113	$113	$113	100%	—	$0 – $227
10	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$113	$113	$113	100%	—	$0 – $227
11	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
12	Cigna hmo fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
13	Cigna openaccess fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
14	Cigna openaccessplus fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
15	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
16	Cigna ppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
17	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
18	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$166	$166	$166	100%	—	$0 – $332
19	UnitedHealthcare allpayerappendix fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
20	UnitedHealthcare smallgroup fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
21	Humana hmo percent of total billed charges · outpatientfrom % of charges	$185	$185	$185	100%	—	$0 – $370
22	Humana ppo percent of total billed charges · outpatientfrom % of charges	$185	$185	$185	100%	—	$0 – $370
23	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$194	$194	$194	100%	—	$0 – $388
24	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$197	$197	$196	100%	—	$0 – $393
25	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$200	$200	$200	100%	—	$0 – $400

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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