Palate repair surgery at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

REPAIR LAC PALATE<2 CM

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $564 is 13% below the median hospital's median price ($647), higher than 37% of the 1,600 hospitals reporting CPT 42180. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42180 at AMH Cath Labs LLC

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	$187	$187	—	—	—	$187 – $187
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
3	WellCare managed medicaid fee schedule · outpatient	$197	$197	—	—	—	$197 – $197
4	Molina managed medicaid fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
5	Aetna managed medicaid fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
6	Blue Cross Blue Shield exchange case rate · outpatient	$508	$508	—	—	—	$508 – $508
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$543	$543	—	—	—	$543 – $543
8	Humana medicare advantage case rate · outpatient	$564	$564	—	—	—	$564 – $564
9	Humana medicare advantage ppo case rate · outpatient	$564	$564	—	—	—	$564 – $564
10	Molina medicare advantage case rate · outpatient	$570	$570	—	—	—	$570 – $570
11	WellCare medicare advantage hmo case rate · outpatient	$570	$570	—	—	—	$570 – $570
12	WellCare medicare advantage mmp case rate · outpatient	$597	$597	—	—	—	$597 – $597
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$602	$602	—	—	—	$602 – $602
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$613	$613	—	—	—	$613 – $613
15	Blue Cross Blue Shield hmo case rate · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
16	Blue Cross Blue Shield ppo case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
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	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k

Last updated: Apr 21, 2026

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