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
13102 REPR CMPLX-TRKEA ADD 5CM
Arlington, TX
See all hospitals reporting CPT 13102 →Price type
AMH Cath Labs LLC’s median price of $360 is 34% below the median hospital's median price ($547), higher than 39% of the 1,860 hospitals reporting CPT 13102. 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, 31 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 percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 7 | Humana medicare advantage case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Molina medicare advantage case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 14 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $270 | $270 | — | — | — | $270 – $270 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $405 | $405 | — | — | — | $405 – $405 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $405 | $405 | — | — | — | $405 – $405 |
| 20 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $443 | $443 | — | — | — | $443 – $443 |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $445 | $445 | — | — | — | $445 – $445 |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 23 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 24 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $548 | $548 | — | — | — | $548 – $548 |
Last updated: Apr 21, 2026
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