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
VITAL CAP W/O BD W/O INTERP
Arlington, TX
See all hospitals reporting CPT 94150 →Price type
AMH Cath Labs LLC’s median price of $168 is 12% above the median hospital's median price ($150), higher than 65% of the 2,174 hospitals reporting CPT 94150. 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 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 8 | Humana medicare advantage case rate · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 9 | Humana medicare advantage ppo case rate · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 10 | Molina medicare advantage case rate · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 18 | Blue Cross Blue Shield exchange fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 21 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 22 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $217 | $217 | — | — | — | $217 – $217 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 25 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
Last updated: Apr 21, 2026
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