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
CUFF CLR LG/XL
Arlington, TX
See all hospitals reporting HCPCS L0130 →Price type
AMH Cath Labs LLC’s median price of $20 is 91% below the median hospital's median price ($226), higher than 0% of the 872 hospitals reporting HCPCS L0130. 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 | $3 | $3 | $0 | 3% | — | $2 – $3 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 3% | — | $2 – $3 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 3% | — | $9 – $9 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $0 | 3% | — | $11 – $12 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $0 | 3% | — | $14 – $15 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $0 | 3% | — | $15 – $16 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $1 | 3% | — | $15 – $16 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $1 | 3% | — | $15 – $16 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $1 | 3% | — | $15 – $16 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $1 | 3% | — | $17 – $19 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $1 | 3% | — | $18 – $20 |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $1 | 3% | — | $19 – $20 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $1 | 3% | — | $19 – $21 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $1 | 3% | — | $19 – $21 |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $1 | 3% | — | $19 – $21 |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $21 | $21 | $1 | 3% | — | $21 – $22 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $25 | $25 | $1 | 3% | — | $24 – $26 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $1 | 3% | — | $24 – $26 |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 24 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 25 | Humana medicare advantage case rate · outpatient | $195 | $195 | — | — | — | $195 – $195 |
Last updated: Apr 21, 2026
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