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
LARGSC W/THER INJECTION
Arlington, TX
See all hospitals reporting CPT 31573 →Price type
AMH Cath Labs LLC’s median price of $1.8k is 12% below the median hospital's median price ($2.0k), higher than 39% of the 1,608 hospitals reporting CPT 31573. 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 | $161 | $161 | — | — | — | $161 – $161 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 4 | Molina managed medicaid fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $430 | $430 | — | — | — | $430 – $430 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 9 | Blue Cross Blue Shield traditional case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Humana medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Humana medicare advantage ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Molina medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | WellCare medicare advantage hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | WellCare medicare advantage mmp case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Apr 21, 2026
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