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 S/C SHELL/PANEL
Arlington, TX
See all hospitals reporting HCPCS L0640 →Price type
AMH Cath Labs LLC’s median price of $2.0k is 53% above the median hospital's median price ($1.3k), higher than 88% of the 941 hospitals reporting HCPCS L0640. 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 | $344 | $344 | — | — | — | $344 – $344 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $379 | $379 | — | — | — | $379 – $379 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Humana medicare advantage case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Molina medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Apr 21, 2026
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