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
FLUARIX QUAD 2023-2024 (PF) 60 MCG (15 MCG X 4)/0.5 ML INTRAMUSC SYRG [157460]
Arlington, TX
See all hospitals reporting CPT 90686 →Price type
AMH Cath Labs LLC’s median price of $55 is 85% above the median hospital's median price ($29), higher than 81% of the 1,673 hospitals reporting CPT 90686. 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, 25 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 percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $0 | 3% | — | $8 – $9 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $0 | 2% | — | $8 – $9 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $9 | $0 | 3% | — | $8 – $9 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $30 | $31 | $1 | 3% | — | $30 – $32 |
| 7 | Blue Cross Blue Shield hmo fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Blue Cross Blue Shield exchange fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $1 | 3% | — | $36 – $38 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $40 | $41 | $1 | 3% | — | $40 – $42 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $47 | $48 | $1 | 3% | — | $47 – $50 |
| 13 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $48 | $49 | $1 | 3% | — | $48 – $51 |
| 14 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $60 | $61 | $2 | 3% | — | $60 – $64 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $60 | $61 | $2 | 3% | — | $60 – $64 |
| 16 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $61 | $62 | $2 | 3% | — | $61 – $64 |
| 17 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $61 | $62 | $2 | 3% | — | $61 – $64 |
| 18 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $65 | $66 | $2 | 3% | — | $64 – $68 |
| 19 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $75 | $77 | $2 | 3% | — | $75 – $80 |
| 20 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $75 | $77 | $2 | 3% | — | $75 – $80 |
| 21 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $82 | $83 | $2 | 3% | — | $81 – $86 |
| 22 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $82 | $83 | $2 | 3% | — | $81 – $86 |
| 23 | UnitedHealthcare all payer fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 24 | UnitedHealthcare ppo fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
Last updated: Apr 21, 2026
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