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
US ABLATION VISCERAL S&I
Arlington, TX
See all hospitals reporting CPT 76940 →Price type
AMH Cath Labs LLC’s median price of $1.9k is 550% above the median hospital's median price ($293), higher than 97% of the 1,515 hospitals reporting CPT 76940. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 hmo fee schedule · outpatient | $277 | $277 | — | — | — | $277 – $277 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 3 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 4 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $331 | $331 | — | — | — | $331 – $331 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $338 | $338 | — | — | — | $338 – $338 |
| 9 | UnitedHealthcare all payer case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 10 | UnitedHealthcare ppo case rate · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 11 | Blue Cross Blue Shield traditional fee schedule · outpatient | $833 | $833 | — | — | — | $833 – $833 |
| 12 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Apr 21, 2026
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