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
Non-adju cgm supply allow
Arlington, TX
See all hospitals reporting HCPCS A4239 →Price type
AMH Cath Labs LLC’s median price of $287 is 3% above the median hospital's median price ($279), higher than 59% of the 667 hospitals reporting HCPCS A4239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 medicare advantage case rate · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 2 | Humana medicare advantage case rate · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 4 | Molina medicare advantage case rate · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $309 | $309 | — | — | — | $309 – $309 |
Last updated: Apr 21, 2026
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