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
FRB-30 FALOPE-RING BANDS
Concord, MA
See all hospitals reporting HCPCS A4264 →Price type
Emerson Hospital’s median price of $118 is 92% below the median hospital's median price ($1.5k), higher than 3% 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: 4 payers, 8 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 | Blue Cross Blue Shield bcbs mcr adv facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Blue Cross Blue Shield blue cross blue shield ppo/indemnity/oos facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 4 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Blue Cross Blue Shield blue cross blue shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Cigna cigna/gwl facility · percent of total billed charges · inpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Cigna cigna/gwl facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 8 | UnitedHealthcare uhc bh facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
Last updated: May 18, 2026
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