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
INITIAL EVAL LOW COMP LEVEL 3
Arlington, TX
See all hospitals reporting CPT 97165 →Price type
AMH Cath Labs LLC’s median price of $259 is 67% above the median hospital's median price ($155), higher than 80% of the 2,514 hospitals reporting CPT 97165. 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 | $52.98 | $52.34 | $28.01 – $75.38 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $52.98 | $52.34 | $28.01 – $75.38 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $55.66 | $54.98 | $29.43 – $79.19 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $57.21 | $56.52 | $30.25 – $81.40 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $58.28 | $57.57 | $30.81 – $82.92 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $98.02 | $98.02 | $98.02 – $98.02 |
| 7 | Humana medicare advantage case rate · outpatient | $101.94 | $101.94 | $101.94 – $101.94 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $101.94 | $101.94 | $101.94 – $101.94 |
| 9 | Molina medicare advantage case rate · outpatient | $102.92 | $102.92 | $102.92 – $102.92 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $102.92 | $102.92 | $102.92 – $102.92 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $107.82 | $107.82 | $107.82 – $107.82 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $108.80 | $108.80 | $108.80 – $108.80 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $110.76 | $110.76 | $110.76 – $110.76 |
| 14 | Blue Cross Blue Shield exchange fee schedule · outpatient | $136.40 | $136.40 | $136.40 – $136.40 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $244.41 | $241.46 | $129.24 – $347.78 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $259.32 | $259.32 | $259.32 – $259.32 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $288.15 | $288.15 | $288.15 – $288.15 |
| 18 | UnitedHealthcare all payer case rate · outpatient | $308.00 | $308.00 | $308.00 – $308.00 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $325.90 | $321.97 | $172.33 – $463.73 |
| 20 | Cigna oap/hmo case rate · outpatient | $328.00 | $328.00 | $328.00 – $328.00 |
| 21 | Cigna ppo case rate · outpatient | $396.00 | $396.00 | $396.00 – $396.00 |
| 22 | UnitedHealthcare ppo case rate · outpatient | $401.00 | $401.00 | $401.00 – $401.00 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $413.70 | $408.71 | $218.75 – $588.67 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $417.27 | $412.23 | $220.64 – $593.75 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $417.27 | $412.23 | $220.64 – $593.75 |
Last updated: Apr 21, 2026
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