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
SYS SEALANT BIOSENTRY TRACT 17G&19G
Arlington, TX
See all hospitals reporting HCPCS C2613 →Price type
AMH Cath Labs LLC’s median price of $920 is 1% below the median hospital's median price ($932), higher than 49% of the 592 hospitals reporting HCPCS C2613. 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 | $134 | $134 | — | — | — | $134 – $134 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $467 | $467 | — | — | — | $467 – $467 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $619 | $619 | — | — | — | $619 – $619 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $825 | $825 | — | — | — | $825 – $825 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $833 | $833 | — | — | — | $833 – $833 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $950 | $950 | — | — | — | $950 – $950 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 21, 2026
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