Nephrostomy tube removal with X-ray guidance 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

SP URO NEPHROST RMV W FLUORO

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 $730 is 22% below the median hospital's median price ($931), higher than 32% of the 2,108 hospitals reporting CPT 50389. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 50389 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	$238	$238	—	—	—	$238 – $238
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
3	WellCare managed medicaid fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
4	Molina managed medicaid fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
5	Aetna managed medicaid fee schedule · outpatient	$262	$262	—	—	—	$262 – $262
6	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$422	$422	—	—	—	$422 – $422
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$562	$562	—	—	—	$562 – $562
8	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$565	$565	—	—	—	$565 – $565
9	Blue Cross Blue Shield exchange case rate · outpatient	$640	$640	—	—	—	$640 – $640
10	Blue Cross Blue Shield medicare advantage case rate · outpatient	$702	$702	—	—	—	$702 – $702
11	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$710	$710	—	—	—	$710 – $710
12	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$713	$713	—	—	—	$713 – $713
13	Aetna asa percent of total billed charges · outpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
14	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
15	Humana medicare advantage case rate · outpatient	$730	$730	—	—	—	$730 – $730
16	Humana medicare advantage ppo case rate · outpatient	$730	$730	—	—	—	$730 – $730
17	Molina medicare advantage case rate · outpatient	$737	$737	—	—	—	$737 – $737
18	WellCare medicare advantage hmo case rate · outpatient	$737	$737	—	—	—	$737 – $737
19	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$762	$762	—	—	—	$762 – $762
20	WellCare medicare advantage mmp case rate · outpatient	$772	$772	—	—	—	$772 – $772
21	UnitedHealthcare medicare advantage ppo case rate · outpatient	$779	$779	—	—	—	$779 – $779
22	UnitedHealthcare medicare advantage hmo case rate · outpatient	$793	$793	—	—	—	$793 – $793
23	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$889	$889	—	—	—	$889 – $889
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$889	$889	—	—	—	$889 – $889
25	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$962	$962	—	—	—	$962 – $962

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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