CMS Price Transparency Data
Review of medical records for care
Facility: Ascension Seton Edgar B Davis
Billing Code: 90889 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90889
- Insurance Median: $276
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Review of medical records for care at Ascension Seton Edgar B Davis is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 130 Hays Street, Luling, TX.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$276
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
N/A
Standard federal government reimbursement rate for this code.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Champva | $273 - $278 | N/A |