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
NEO/POLY B/DEX 3.5G OPH
HOUSTON, TX
See all hospitals reporting HCPCS S5000 →Price type
Texas Orthopedic Hospital’s median price of $322 is 342% above the median hospital's median price ($73), higher than 86% of the 298 hospitals reporting HCPCS S5000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 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 | $73 | $73 | $15 | 21% | — | $58 – $89 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $15 | 21% | — | $58 – $89 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $15 | 21% | — | $58 – $89 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $15 | 21% | — | $58 – $89 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $15 | 21% | — | $58 – $89 |
| 6 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $42 | 21% | — | $158 – $241 |
| 7 | Blue Cross Blue Shield bav percent of total billed charges · outpatientfrom % of charges | $220 | $220 | $46 | 21% | — | $174 – $266 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $49 | 21% | — | $184 – $281 |
| 9 | Aetna qhpexchange percent of total billed charges · outpatientfrom % of charges | $253 | $253 | $53 | 21% | — | $200 – $306 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $275 | $275 | $58 | 21% | — | $218 – $333 |
| 11 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $281 | $281 | $59 | 21% | — | $222 – $340 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $286 | $286 | $60 | 21% | — | $226 – $346 |
| 13 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $314 | $314 | $66 | 21% | — | $248 – $380 |
| 14 | Molina hix percent of total billed charges · outpatientfrom % of charges | $330 | $330 | $69 | 21% | — | $261 – $399 |
| 15 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $336 | $336 | $70 | 21% | — | $266 – $407 |
| 16 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $390 | $390 | $82 | 21% | — | $309 – $472 |
| 17 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $390 | $390 | $82 | 21% | — | $309 – $472 |
| 18 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $395 | $395 | $83 | 21% | — | $312 – $478 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $419 | $419 | $88 | 21% | — | $332 – $507 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $428 | $428 | $90 | 21% | — | $338 – $517 |
| 21 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $550 | $550 | $115 | 21% | — | $435 – $665 |
| 22 | First Health comm percent of total billed charges · outpatientfrom % of charges | $652 | $652 | $136 | 21% | — | $515 – $788 |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $917 | $917 | $192 | 21% | — | $725 – $1.1k |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $217 | 21% | — | $822 – $1.3k |
Last updated: May 14, 2026
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