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
FEES CINE / VIDEO LEVEL 5
Arlington, TX
See all hospitals reporting CPT 92612 →Price type
AMH Cath Labs LLC’s median price of $250 is 26% above the median hospital's median price ($198), higher than 63% of the 1,953 hospitals reporting CPT 92612. 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 percent of total billed charges · outpatientfrom % of charges | $47 | $49 | $14 | 28% | — | $32 – $71 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $47 | $49 | $14 | 28% | — | $32 – $71 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $50 | $51 | $14 | 28% | — | $33 – $74 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $53 | $15 | 28% | — | $34 – $77 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $52 | $54 | $15 | 28% | — | $35 – $78 |
| 6 | Blue Cross Blue Shield exchange fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 8 | Blue Cross Blue Shield hmo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 9 | Humana medicare advantage case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 11 | Molina medicare advantage case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 17 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $218 | $226 | $62 | 28% | — | $146 – $327 |
| 18 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $291 | $301 | $83 | 28% | — | $195 – $436 |
| 19 | UnitedHealthcare all payer case rate · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 20 | Cigna oap/hmo case rate · outpatient | $328 | $328 | — | — | — | $328 – $328 |
| 21 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $369 | $382 | $105 | 28% | — | $247 – $554 |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $373 | $385 | $106 | 28% | — | $249 – $558 |
| 23 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $373 | $385 | $106 | 28% | — | $249 – $558 |
| 24 | Cigna ppo case rate · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 25 | UnitedHealthcare ppo case rate · outpatient | $401 | $401 | — | — | — | $401 – $401 |
Last updated: Apr 21, 2026
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