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
SYS BIRTH CTRL ESSUR PERM ESS305[INBROR]
Bluffton, IN
See all hospitals reporting HCPCS A4264 →Price type
Bluffton Health System LLC’s median price of $11.7k is 658% above the median hospital's median price ($1.5k), higher than 94% of the 585 hospitals reporting HCPCS A4264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 | Tricare node tricare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Aetna node aetna mcr adv facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 3 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 4 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 6 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 7 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 9 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 10 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 11 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 12 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 13 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 14 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
Last updated: Apr 1, 2026
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