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
IMPRES&PREP SP AID PROSTH
Arlington, TX
See all hospitals reporting CPT 21084 →Price type
AMH Cath Labs LLC’s median price of $3.5k is 6% below the median hospital's median price ($3.7k), higher than 45% of the 1,428 hospitals reporting CPT 21084. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 14 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 exchange case rate · outpatient | $908 | $908 | — | — | — | $908 – $908 |
| 2 | Blue Cross Blue Shield hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Blue Cross Blue Shield ppo case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 5 | Humana medicare advantage case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 6 | Humana medicare advantage ppo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 7 | Molina medicare advantage case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | WellCare medicare advantage mmp case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 11 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 12 | Blue Cross Blue Shield traditional case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 13 | UnitedHealthcare all payer case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 14 | UnitedHealthcare ppo case rate · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
Last updated: Apr 21, 2026
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