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
Exc tr-ext b9+marg 2.1-3cm
Conway, SC
See all hospitals reporting CPT 11403 →Price type
Conway Hospital, Inc.’s median price of $422 is 48% below the median hospital's median price ($812), higher than 19% of the 2,368 hospitals reporting CPT 11403. 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, 37 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 commercial professional · fee schedule · outpatient | $85 | $85 | $4 | 5% | — | $80 – $89 |
| 2 | Aetna medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 3 | Blue Cross Blue Shield medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 4 | Clover medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 5 | Humana commercial professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 6 | Humana medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 7 | Molina exchange professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 8 | Molina medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 9 | UnitedHealthcare medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 10 | WellCare medicare professional · fee schedule · outpatient | $160 | $160 | $21 | 13% | — | $139 – $181 |
| 11 | Blue Cross Blue Shield state health plan professional · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 12 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $304 | $304 | $152 | 50% | — | $152 – $456 |
| 13 | Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges | $453 | $453 | $226 | 50% | — | $226 – $679 |
| 14 | Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges | $453 | $453 | $226 | 50% | — | $226 – $679 |
| 15 | Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges | $510 | $510 | $255 | 50% | — | $255 – $765 |
| 16 | Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges | $510 | $510 | $255 | 50% | — | $255 – $765 |
| 17 | Aetna medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 18 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 19 | Clover medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 20 | Humana commercial facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 21 | Humana medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 22 | Molina exchange facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 23 | Molina medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 24 | UnitedHealthcare medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 25 | WellCare medicare facility · fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
Last updated: May 20, 2026
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