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
Peristomal hernia supprt blt
The hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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395 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $100.79 | $58.82 – $142.76 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $32.45 | $32.45 – $32.45 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $57.69 | $57.69 – $57.69 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $57.69 | $57.69 – $57.69 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $63.90 | $63.26 – $64.53 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $53.18 | $41.32 – $73.53 |
| 7 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $56.56 | $56.56 – $56.56 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $58.54 | $58.54 – $58.54 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $58.54 | $58.54 – $58.54 |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $58.54 | $58.54 – $58.54 |
| 11 | Benefis Community Care, Inc Great Falls, MT other · both | 1 | $0.01 | $0.01 – $0.01 |
| 12 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $67.39 | $67.39 – $67.39 |
| 13 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $99.70 | $98.73 – $100.66 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $56.56 | $56.56 – $56.56 |
| 15 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $32.45 | $32.45 – $32.45 |
| 16 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $57.69 | $57.69 – $57.69 |
| 17 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $31.45 | $24.32 – $45.72 |
| 18 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $34.32 | $34.32 – $34.32 |
| 19 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $92.00 | $92.00 – $92.00 |
| 20 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $102.37 | $58.82 – $145.92 |
| 21 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $58.84 | $58.84 – $58.84 |
| 22 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $55.43 | $55.43 – $55.43 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $55.43 | $55.43 – $55.43 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $55.43 | $55.43 – $55.43 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 1 | $48.07 | $48.07 – $48.07 |
← Payers reporting HCPCS A4396 · Snapshot 20261108T055240Z-43b7dac7