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
CYSTOURETERO W/LITHOTRIPSY
Arlington, TX
See all hospitals reporting CPT 52353 →Price type
AMH Cath Labs LLC’s median price of $5.7k is 4% above the median hospital's median price ($5.4k), higher than 54% of the 1,958 hospitals reporting CPT 52353. 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, 21 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 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | WellCare managed medicaid fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Molina managed medicaid fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Aetna managed medicaid fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 8 | Humana medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 10 | Molina medicare advantage case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 15 | Blue Cross Blue Shield hmo case rate · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 16 | Aetna whole health case rate · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 17 | Blue Cross Blue Shield ppo case rate · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 19 | Aetna commercial case rate · outpatient | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 20 | UnitedHealthcare ppo case rate · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 21 | Blue Cross Blue Shield traditional case rate · outpatient | $35.4k | $35.4k | — | — | — | $35.4k – $35.4k |
Last updated: Apr 21, 2026
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