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
PR LSO SC R POS/LAT PNL PRE OTS
West Valley City, UT
See all hospitals reporting HCPCS L0649 →Price type
Catholic Health Initiatives Colorado’s median price of $140 is 38% below the median hospital's median price ($223), higher than 9% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 | Molina managed medicaid fee schedule · outpatient | $121.02 | $121.02 | $121.02 – $121.02 |
| 2 | Humana managed medicare fee schedule · outpatient | $139.54 | $139.54 | $139.54 – $139.54 |
| 3 | Medicare managed medicare fee schedule · outpatient | $139.54 | $139.54 | $139.54 – $139.54 |
| 4 | Medicare medicare fee schedule · outpatient | $139.54 | $139.54 | $139.54 – $139.54 |
| 5 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $290.25 | $290.25 | $290.25 – $290.25 |
Last updated: Feb 11, 2026
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