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
30903 EPISTAXIS-CAUTERIZATION
Arlington, TX
See all hospitals reporting CPT 30903 →Price type
AMH Cath Labs LLC’s median price of $256 is 7% above the median hospital's median price ($240), higher than 53% of the 2,286 hospitals reporting CPT 30903. 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 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Molina managed medicaid fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 8 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Humana medicare advantage case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Molina medicare advantage case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 17 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 18 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $246 | $246 | — | — | — | $246 – $246 |
| 19 | Blue Cross Blue Shield hmo case rate · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 21 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 22 | Blue Cross Blue Shield ppo case rate · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $303 | $303 | — | — | — | $303 – $303 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $304 | $304 | — | — | — | $304 – $304 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
Last updated: Apr 21, 2026
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