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
LSO W/RIGID POS FRAME/PANEL
Arlington, TX
See all hospitals reporting HCPCS L0633 →Price type
AMH Cath Labs LLC’s median price of $504 is 39% above the median hospital's median price ($361), higher than 81% of the 887 hospitals reporting HCPCS L0633. 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 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $298 | $298 | — | — | — | $298 – $298 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $354 | $354 | — | — | — | $354 – $354 |
| 8 | Humana medicare advantage case rate · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 9 | Humana medicare advantage ppo case rate · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 10 | Molina medicare advantage case rate · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 14 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $395 | $395 | — | — | — | $395 – $395 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $481 | $481 | — | — | — | $481 – $481 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $527 | $527 | — | — | — | $527 – $527 |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $606 | $606 | — | — | — | $606 – $606 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $641 | $641 | — | — | — | $641 – $641 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $668 | $668 | — | — | — | $668 – $668 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
Last updated: Apr 21, 2026
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