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
SP-CERV SP 2TO3VW DR
Victoria, TX
See all hospitals reporting CPT 72040 →Price type
Victoria of Texas LP’s median price of $90 is 28% below the median hospital's median price ($125), higher than 25% of the 2,628 hospitals reporting CPT 72040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 34 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $39.76 | $39.76 | $39.76 – $39.76 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $39.76 | $39.76 | $39.76 – $39.76 |
| 3 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $39.76 | $39.76 | $39.76 – $39.76 |
| 4 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $39.76 | $39.76 | $39.76 – $39.76 |
| 5 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $40.56 | $40.56 | $40.56 – $40.56 |
| 6 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $40.56 | $40.56 | $40.56 – $40.56 |
| 7 | Molina node molina chip medicaid tx facility · per diem · outpatient | $41.75 | $41.75 | $41.75 – $41.75 |
| 8 | Molina node molina star medicaid tx facility · per diem · outpatient | $41.75 | $41.75 | $41.75 – $41.75 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $41.75 | $41.75 | $41.75 – $41.75 |
| 10 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 11 | Tricare node tricare facility · fee schedule · outpatient | $78.90 | $78.90 | $74.75 – $83.05 |
| 12 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $78.91 | $78.91 | $78.91 – $78.91 |
| 13 | Humana node humana mcr adv facility · fee schedule · outpatient | $81.72 | $81.72 | $77.42 – $86.02 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $81.72 | $81.72 | $77.42 – $86.02 |
| 15 | Tricare node usfhp tricare facility · fee schedule · outpatient | $83.05 | $83.05 | $78.68 – $87.42 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $83.36 | $83.36 | $78.97 – $87.74 |
| 17 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $83.36 | $83.36 | $78.97 – $87.74 |
| 18 | Aetna node aetna mcr adv facility · other · outpatient | $88.60 | $85.65 | $79.74 – $88.60 |
| 19 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $124.45 | $124.45 | $124.45 – $124.45 |
| 20 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $130.68 | $130.68 | $130.68 – $130.68 |
| 21 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $166.10 | $166.10 | $157.36 – $174.84 |
| 22 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $189.93 | $189.93 | $189.93 – $189.93 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $701.39 | $701.39 | $701.39 – $701.39 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $839.89 | $839.89 | $839.89 – $839.89 |
| 25 | Aetna aetna dow chemical group facility · percent of total billed charges · inpatientfrom % of charges | $972.51 | $972.51 | $972.51 – $972.51 |
Last updated: Apr 1, 2026
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