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
FLW VOL LOOP W/BD W/O INT
Arlington, TX
See all hospitals reporting CPT 94375 →Price type
AMH Cath Labs LLC’s median price of $417 is 67% above the median hospital's median price ($250), higher than 86% of the 1,889 hospitals reporting CPT 94375. 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 | $67 | $67 | — | — | — | $67 – $67 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 7 | Humana medicare advantage case rate · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 9 | Molina medicare advantage case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 14 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $311 | $311 | — | — | — | $311 – $311 |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $415 | $415 | — | — | — | $415 – $415 |
| 17 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 18 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $527 | $527 | — | — | — | $527 – $527 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $528 | $528 | — | — | — | $528 – $528 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $531 | $531 | — | — | — | $531 – $531 |
| 21 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $531 | $531 | — | — | — | $531 – $531 |
| 22 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $565 | $565 | — | — | — | $565 – $565 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $659 | $659 | — | — | — | $659 – $659 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $659 | $659 | — | — | — | $659 – $659 |
| 25 | Blue Cross Blue Shield hmo fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
Last updated: Apr 21, 2026
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