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 PLTR COM DG NRV
Arlington, TX
See all hospitals reporting CPT 64455 →Price type
AMH Cath Labs LLC’s median price of $309 is 14% below the median hospital's median price ($359), higher than 38% of the 1,913 hospitals reporting CPT 64455. 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 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Molina managed medicaid fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Blue Cross Blue Shield traditional case rate · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 10 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 11 | Humana medicare advantage case rate · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 12 | Humana medicare advantage ppo case rate · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 13 | Molina medicare advantage case rate · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 14 | WellCare medicare advantage hmo case rate · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 15 | WellCare medicare advantage mmp case rate · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 16 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $343 | $343 | — | — | — | $343 – $343 |
| 17 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 18 | UnitedHealthcare all payer case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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