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
MICROSURGERY ADD-ON
Arlington, TX
See all hospitals reporting CPT 69990 →Price type
AMH Cath Labs LLC’s median price of $201 is 80% below the median hospital's median price ($1.0k), higher than 13% of the 1,401 hospitals reporting CPT 69990. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 medicare advantage case rate · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 2 | Humana medicare advantage case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Molina medicare advantage case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 9 | UnitedHealthcare all payer case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | UnitedHealthcare ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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