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 Blue Cross Blue Shield 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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257 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $56.56 | $56.56 – $56.56 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $57.69 | $57.69 – $57.69 |
| 3 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $242.55 | $226.05 – $257.25 |
| 4 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $246.04 | $229.23 – $260.99 |
| 5 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $238.13 | $221.94 – $252.58 |
| 6 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $150.22 | $140.01 – $159.27 |
| 7 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $243.80 | $227.17 – $258.56 |
| 8 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $245.36 | $228.67 – $260.24 |
| 9 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $245.36 | $228.67 – $260.24 |
| 10 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $241.50 | $225.12 – $256.13 |
| 11 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $114.72 | $106.95 – $121.65 |
| 12 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $244.73 | $228.11 – $259.49 |
| 13 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $243.80 | $227.17 – $258.56 |
| 14 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0.01 | $0.01 – $0.01 |
| 15 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0.01 | $0.01 – $0.01 |
| 16 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0.01 | $0.01 – $0.01 |
| 17 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $0.70 | $0.29 – $1.00 |
| 18 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $57.30 | $57.11 – $57.69 |
| 19 | Benefis Community Care, Inc Great Falls, MT other · both | 2 | $0.01 | $0.01 – $0.01 |
| 20 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $362.28 | $362.28 – $362.28 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $57.69 | $57.69 – $57.69 |
| 22 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $28.72 | $23.49 – $31.33 |
| 23 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 3 | $57.30 | $57.11 – $57.69 |
| 24 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $56.56 | $56.56 – $56.56 |
| 25 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $57.69 | $57.69 – $57.69 |
← Payers reporting HCPCS A4396 · Snapshot 20261108T055240Z-43b7dac7