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
NJX AA&/STRD GNCLR NRV BRNCH
Arlington, TX
See all hospitals reporting CPT 64454 →Price type
AMH Cath Labs LLC’s median price of $724 is 19% below the median hospital's median price ($896), higher than 34% of the 2,086 hospitals reporting CPT 64454. 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 | $140 | $140 | — | — | — | $140 – $140 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 4 | Molina managed medicaid fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $710 | $710 | — | — | — | $710 – $710 |
| 10 | Humana medicare advantage case rate · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 11 | Humana medicare advantage ppo case rate · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 12 | Molina medicare advantage case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 17 | Blue Cross Blue Shield traditional case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Apr 21, 2026
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