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
FT ARCH SUPRT PREMOLD LONGIT
Low
$0
Average
$169
Median
$137
High
$841
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 7.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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156 hospital rates
iThe hospitals that file a MultiPlan 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 13 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 16 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 17 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 18 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 19 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 20 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 21 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 22 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 23 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $3 | 2% | — | $161 – $166 |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 25 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $254 | $254 | $98 | 39% | — | $156 – $352 |
← Payers reporting HCPCS L3040 · Snapshot 20261111T120946Z-9134e7f7