HCPCS L3964
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
Fee Schedule
Low
$48
Average
$138
Median
$112
High
$323
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · fee schedule · outpatient · +3 other terms | 3 | $337 | $500 | $409 | 82% | — | $55 – $1.3k |
| 2 | Aetna professional · fee schedule · outpatient · +1 other terms | 2 | $451 | $371 | $401 | 108% | — | $29 – $1.3k |
| 3 | Humana professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Kaiser fee schedule · both | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 5 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Caresource fee schedule · both · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Cigna percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 8 | UnitedHealthcare percent of total billed charges · bothfrom % of charges | 1 | $125 | $125 | $6 | 4% | — | $123 – $143 |
← Hospitals reporting HCPCS L3964 · Snapshot 20261113T090226Z-3ce6c0b8