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
12042 LAC-INT-NCK-HND-FT(1-3")
Arlington, TX
See all hospitals reporting CPT 12042 →Price type
AMH Cath Labs LLC’s median price of $391 is 23% below the median hospital's median price ($507), higher than 22% of the 2,461 hospitals reporting CPT 12042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 35 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 4 | Molina managed medicaid fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 7 | Blue Cross Blue Shield exchange case rate · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 8 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $221 | $221 | — | — | — | $221 – $221 |
| 9 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $295 | $295 | — | — | — | $295 – $295 |
| 11 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $331 | $331 | — | — | — | $331 – $331 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $331 | $331 | — | — | — | $331 – $331 |
| 13 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 15 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 16 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 17 | Blue Cross Blue Shield hmo case rate · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 18 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $389 | $389 | — | — | — | $389 – $389 |
| 19 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 20 | Blue Cross Blue Shield ppo case rate · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 21 | Humana medicare advantage case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 22 | Humana medicare advantage ppo case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 23 | Molina medicare advantage case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 24 | WellCare medicare advantage hmo case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $448 | $448 | — | — | — | $448 – $448 |
Last updated: Apr 21, 2026
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