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
VITAMIN K 0099225 REF1
Arlington, TX
See all hospitals reporting CPT 84597 →Price type
AMH Cath Labs LLC’s median price of $29 is 22% above the median hospital's median price ($24), higher than 57% of the 2,518 hospitals reporting CPT 84597. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 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 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Molina managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Humana medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 11 | Molina medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 17 | Aetna whole health fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Blue Cross Blue Shield hmo fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Aetna commercial fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Blue Cross Blue Shield ppo fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 21 | Cigna oap/hmo fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Cigna ppo fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Apr 21, 2026
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