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
US EYE B-SCAN OR HRB
Bonham, TX
See all hospitals reporting CPT 76513 →Price type
TMC Bonham Hospital’s median price of $182 is 45% above the median hospital's median price ($125), higher than 75% of the 1,413 hospitals reporting CPT 76513. 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, 13 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 | Aetna medicare percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Humana medicare percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 3 | UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Ambetter qhp percent of total billed charges · bothfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Cigna hmo percent of total billed charges · bothfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Aetna ppo percent of total billed charges · bothfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 7 | Molina medicaid fee schedule · both | $182 | $171 | $24 | 14% | — | $139 – $194 |
| 8 | Superior Healthplan medicaid fee schedule · both | $179 | $179 | $6 | 3% | — | $173 – $185 |
| 9 | UnitedHealthcare medicaid fee schedule · both | $179 | $179 | $6 | 3% | — | $173 – $185 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 11 | Blue Cross Blue Shield managed_care percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 13 | Blue Cross Blue Shield qhp percent of total billed charges · bothfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
Last updated: Sep 1, 2026
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