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
KIT LAPAROSCOPIC LIGATOR RADIOPAQUE 2 RING 2 INCISION APPLICATOR FALOPE-RING 30 PROCEDURE
Macon, GA
See all hospitals reporting HCPCS A4264 →Price type
Central Georgia Rehabilitation LLC’s median price of $973 is 37% below the median hospital's median price ($1.5k), higher than 25% 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: 9 payers, 22 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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $431 | $513 | $166 | 32% | — | $392 – $798 |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $576 | $685 | $222 | 32% | — | $524 – $1.1k |
| 3 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $628 | $748 | $242 | 32% | — | $572 – $1.2k |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $628 | $748 | $242 | 32% | — | $572 – $1.2k |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $732 | $872 | $282 | 32% | — | $667 – $1.4k |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $845 | $1.0k | $325 | 32% | — | $770 – $1.6k |
| 7 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $933 | $1.1k | $359 | 32% | — | $850 – $1.7k |
| 8 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $933 | $1.1k | $359 | 32% | — | $850 – $1.7k |
| 9 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $933 | $1.1k | $359 | 32% | — | $850 – $1.7k |
| 10 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $933 | $1.1k | $359 | 32% | — | $850 – $1.7k |
| 11 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $944 | $1.1k | $363 | 32% | — | $860 – $1.7k |
| 12 | Aetna hmo percent of total billed charges · inpatientfrom % of charges | $947 | $1.1k | $365 | 32% | — | $863 – $1.8k |
| 13 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $947 | $1.1k | $365 | 32% | — | $863 – $1.8k |
| 14 | Aetna pos percent of total billed charges · inpatientfrom % of charges | $947 | $1.1k | $365 | 32% | — | $863 – $1.8k |
| 15 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $947 | $1.1k | $365 | 32% | — | $863 – $1.8k |
| 16 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $947 | $1.1k | $365 | 32% | — | $863 – $1.8k |
| 17 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $986 | $1.2k | $380 | 32% | — | $898 – $1.8k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.2k | $387 | 32% | — | $915 – $1.9k |
| 19 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.4k | $442 | 32% | — | $1.0k – $2.1k |
| 20 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.4k | $442 | 32% | — | $1.0k – $2.1k |
| 21 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.6k | $514 | 32% | — | $1.2k – $2.5k |
| 22 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.6k | $514 | 32% | — | $1.2k – $2.5k |
Last updated: Nov 19, 2025
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