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
DRUG PROFILE PNL LC-MS/MS R1
Arlington, TX
See all hospitals reporting HCPCS G0482 →Price type
AMH Cath Labs LLC’s median price of $347 is 66% above the median hospital's median price ($209), higher than 84% of the 1,562 hospitals reporting HCPCS G0482. 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 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Molina managed medicaid fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 9 | Humana medicare advantage case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 11 | Molina medicare advantage case rate · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 17 | Aetna whole health fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 18 | Blue Cross Blue Shield hmo fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 19 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 20 | Aetna commercial fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 22 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $513 | $513 | — | — | — | $513 – $513 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $514 | $514 | — | — | — | $514 – $514 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $517 | $517 | — | — | — | $517 – $517 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $517 | $517 | — | — | — | $517 – $517 |
Last updated: Apr 21, 2026
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