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
CYSTO W/IRRG&EVAC MLT CLOTS
Arlington, TX
See all hospitals reporting CPT 52001 →Price type
AMH Cath Labs LLC’s median price of $3.6k is 4% above the median hospital's median price ($3.5k), higher than 56% of the 1,904 hospitals reporting CPT 52001. 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 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | WellCare managed medicaid fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Molina managed medicaid fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Aetna managed medicaid fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | UnitedHealthcare all payer case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 7 | Blue Cross Blue Shield exchange case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | Humana medicare advantage case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Humana medicare advantage ppo case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 11 | Molina medicare advantage case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | UnitedHealthcare ppo case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Blue Cross Blue Shield hmo case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 18 | Blue Cross Blue Shield ppo case rate · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 19 | Blue Cross Blue Shield traditional case rate · outpatient | $25.2k | $25.2k | — | — | — | $25.2k – $25.2k |
Last updated: Apr 21, 2026
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