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
DSTR MAL LES S/N/H/F/G 3.1-4
Arlington, TX
See all hospitals reporting CPT 17274 →Price type
AMH Cath Labs LLC’s median price of $417 is 10% below the median hospital's median price ($465), higher than 40% of the 1,642 hospitals reporting CPT 17274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 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 | $120 | $120 | — | — | — | $120 – $120 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 4 | Molina managed medicaid fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $345 | $345 | — | — | — | $345 – $345 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 10 | Humana medicare advantage case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 11 | Humana medicare advantage ppo case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 12 | Molina medicare advantage case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 17 | Blue Cross Blue Shield traditional case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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