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
1229641 - MARKER VISION BRSTBIO TUMARK EVIVA STRL LTX DISP EVIVA STD
Summit, WI
See all hospitals reporting HCPCS A4648 →Price type
Aurora Medical Center Summit’s median price of $379 is 44% above the median hospital's median price ($263), higher than 67% of the 1,652 hospitals reporting HCPCS A4648. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $297 | $291 | $165 | 57% | 21–210 | $91 – $485 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $363 | $355 | $201 | 57% | — | $112 – $592 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $363 | $355 | $201 | 57% | — | $112 – $592 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $363 | $355 | $201 | 57% | — | $112 – $592 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $363 | $355 | $201 | 57% | — | $112 – $592 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $367 | $359 | $203 | 57% | — | $113 – $598 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $367 | $359 | $203 | 57% | — | $113 – $598 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $367 | $359 | $203 | 57% | — | $113 – $598 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $397 | $389 | $220 | 57% | 21–210 | $122 – $648 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $458 | $449 | $254 | 57% | — | $141 – $748 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $458 | $449 | $254 | 57% | — | $141 – $748 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $458 | $449 | $254 | 57% | 21–210 | $141 – $748 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $458 | $449 | $254 | 57% | — | $141 – $748 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $505 | $494 | $280 | 57% | — | $155 – $824 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $505 | $494 | $280 | 57% | — | $155 – $824 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $514 | $504 | $285 | 57% | — | $159 – $840 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $514 | $504 | $285 | 57% | 13 | $159 – $840 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $517 | $506 | $287 | 57% | — | $159 – $844 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $517 | $506 | $287 | 57% | — | $159 – $844 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $519 | $508 | $288 | 57% | — | $160 – $848 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $519 | $508 | $288 | 57% | — | $160 – $848 |
Last updated: Nov 21, 2025
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