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
UTAH- CLIP CRV FLSH UPPR JW 14X35[MSMH]
Brandon, MS
See all hospitals reporting HCPCS A4264 →Price type
Brandon HMA LLC’s median price of $500 is 68% below the median hospital's median price ($1.5k), higher than 13% of the 579 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 3 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 4 | UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges | $214 | $214 | — | — | — | $214 – $214 |
| 5 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 6 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 8 | Aetna aetna pho facility · other · inpatient | $481 | $481 | — | — | — | $481 – $481 |
| 9 | Aetna aetna pho facility · other · outpatient | $481 | $481 | — | — | — | $481 – $481 |
| 10 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $577 | $577 | — | — | — | $577 – $577 |
| 11 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $577 | $577 | — | — | — | $577 – $577 |
| 12 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
| 13 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $770 | $770 | — | — | — | $770 – $770 |
Last updated: Apr 1, 2026
See Unused fallopian tube implant ring pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.