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 LS F/E/E/N/L/M>4.0
Arlington, TX
See all hospitals reporting CPT 17286 →Price type
AMH Cath Labs LLC’s median price of $759 is 2% above the median hospital's median price ($744), higher than 51% of the 1,571 hospitals reporting CPT 17286. 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 | $153 | $153 | — | — | — | $153 – $153 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 4 | Molina managed medicaid fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $444 | $444 | — | — | — | $444 – $444 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $493 | $493 | — | — | — | $493 – $493 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $744 | $744 | — | — | — | $744 – $744 |
| 10 | Humana medicare advantage case rate · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 11 | Humana medicare advantage ppo case rate · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 12 | Molina medicare advantage case rate · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $840 | $840 | — | — | — | $840 – $840 |
| 17 | UnitedHealthcare all payer case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Blue Cross Blue Shield traditional case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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