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
IMPL TISSUE EXP 133S/FV 850CC
Arlington, TX
See all hospitals reporting HCPCS A4649 →Price type
AMH Cath Labs LLC’s median price of $169 is 32% below the median hospital's median price ($248), higher than 42% of the 760 hospitals reporting HCPCS A4649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | $73 | $368 | $570 | 155% | — | $4 – $1.8k |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $73 | $368 | $570 | 155% | — | $4 – $1.8k |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $76 | $387 | $599 | 155% | — | $4 – $1.9k |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $398 | $616 | 155% | — | $4 – $1.9k |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $80 | $405 | $627 | 155% | — | $5 – $2.0k |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $236 | $1.2k | $1.9k | 153% | — | $13 – $5.8k |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $335 | $1.7k | $2.6k | 155% | — | $19 – $8.2k |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $376 | $1.9k | $3.0k | 153% | — | $21 – $9.2k |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $419 | $2.2k | $3.3k | 153% | — | $24 – $10.3k |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $421 | $2.2k | $3.3k | 150% | — | $24 – $10.3k |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $446 | $2.3k | $3.5k | 155% | — | $25 – $11.0k |
| 12 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $450 | $2.3k | $3.5k | 155% | — | $25 – $11.1k |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $446 | $2.3k | $3.5k | 150% | — | $25 – $11.0k |
| 14 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $566 | $2.9k | $4.5k | 155% | — | $32 – $13.9k |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $568 | $2.9k | $4.5k | 155% | — | $32 – $13.9k |
| 16 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $571 | $2.9k | $4.5k | 155% | — | $32 – $14.0k |
| 17 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $571 | $2.9k | $4.5k | 155% | — | $32 – $14.0k |
| 18 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $607 | $3.1k | $4.8k | 155% | — | $34 – $14.9k |
| 19 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $672 | $3.2k | $5.3k | 163% | — | $38 – $16.5k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $709 | $3.6k | $5.6k | 155% | — | $40 – $17.4k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $709 | $3.6k | $5.6k | 155% | — | $40 – $17.4k |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $767 | $3.9k | $6.0k | 155% | — | $43 – $18.8k |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $767 | $3.9k | $6.0k | 155% | — | $43 – $18.8k |
Last updated: Apr 21, 2026
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