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
BRACE CERV MINERVA SM/MD 11-15"
Arlington, TX
See all hospitals reporting HCPCS L0200 →Price type
AMH Cath Labs LLC’s median price of $684 is 4% below the median hospital's median price ($712), higher than 46% of the 1,096 hospitals reporting HCPCS L0200. 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 | $92 | $113 | $56 | 50% | — | $65 – $203 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $92 | $113 | $56 | 50% | — | $65 – $203 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $96 | $119 | $59 | 50% | — | $68 – $214 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $99 | $122 | $61 | 50% | — | $70 – $219 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $101 | $124 | $62 | 50% | — | $72 – $224 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $320 | $394 | $197 | 50% | — | $227 – $708 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $423 | $521 | $260 | 50% | — | $301 – $938 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $515 | $635 | $317 | 50% | — | $366 – $1.1k |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $684 | $684 | — | — | — | $684 – $684 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $564 | $695 | $347 | 50% | — | $401 – $1.3k |
| 11 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $570 | $702 | $351 | 50% | — | $405 – $1.3k |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $573 | $706 | $353 | 50% | — | $407 – $1.3k |
| 13 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $573 | $706 | $353 | 50% | — | $407 – $1.3k |
| 14 | Humana medicare advantage case rate · outpatient | $712 | $712 | — | — | — | $712 – $712 |
| 15 | Humana medicare advantage ppo case rate · outpatient | $712 | $712 | — | — | — | $712 – $712 |
| 16 | Molina medicare advantage case rate · outpatient | $719 | $719 | — | — | — | $719 – $719 |
| 17 | WellCare medicare advantage hmo case rate · outpatient | $719 | $719 | — | — | — | $719 – $719 |
| 18 | WellCare medicare advantage mmp case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 19 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 20 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $650 | $800 | $400 | 50% | — | $461 – $1.4k |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $687 | $846 | $423 | 50% | — | $488 – $1.5k |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $716 | $882 | $441 | 50% | — | $509 – $1.6k |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $719 | $885 | $442 | 50% | — | $510 – $1.6k |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $723 | $890 | $445 | 50% | — | $513 – $1.6k |
Last updated: Apr 21, 2026
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