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
BELT OST SUPPORT BRAVA XL 40-46"
Arlington, TX
See all hospitals reporting HCPCS A4367 →Price type
AMH Cath Labs LLC’s median price of $10 is 3% below the median hospital's median price ($10), higher than 40% of the 774 hospitals reporting HCPCS A4367. 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 | $1 | $4 | $4 | 106% | — | $0 – $10 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $4 | $4 | 106% | — | $0 – $10 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $4 | $5 | 106% | — | $0 – $10 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $5 | $5 | 106% | — | $0 – $11 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $5 | $5 | 107% | — | $0 – $11 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Humana medicare advantage case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Molina medicare advantage case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $4 | $15 | $16 | 106% | — | $1 – $35 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $5 | $19 | $21 | 106% | — | $1 – $46 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $6 | $24 | $25 | 106% | — | $2 – $56 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $7 | $26 | $27 | 106% | — | $2 – $61 |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $7 | $26 | $28 | 106% | — | $2 – $62 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $7 | $26 | $28 | 106% | — | $2 – $62 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $7 | $26 | $28 | 106% | — | $2 – $62 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $8 | $30 | $32 | 106% | — | $2 – $70 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $8 | $31 | $33 | 106% | — | $2 – $74 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $9 | $33 | $35 | 106% | — | $2 – $77 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $9 | $33 | $35 | 106% | — | $2 – $78 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $9 | $33 | $35 | 106% | — | $2 – $78 |
Last updated: Apr 21, 2026
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