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
HC INTRO NDL W/THROMB/DECLOT
Enumclaw, WA
See all hospitals reporting CPT 36904 →Price type
Enumclaw Regional Hospital Association’s median price of $9.0k is 40% above the median hospital's median price ($6.4k), higher than 78% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 27 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 | Cigna commercial|all plans case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Kaiser medicare|all plans fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 5 | Optum medicare|all plans fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 6 | Premera medicare|all plans fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 7 | Regence medicare|all plans fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 8 | Humana medicare|all plans fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 9 | Molina medicare|all plans fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 11 | Aetna medicare|all plans fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 12 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 13 | Molina medicaid|all plans fee schedule · inpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 14 | Molina commercial|marketplace exchange fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 15 | Aetna commercial|awh fee schedule · inpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 16 | UnitedHealthcare commercial|navigate case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 17 | UnitedHealthcare commercial|all other plans case rate · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 18 | Kaiser commercial|hmo fee schedule · outpatient | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 19 | Aetna commercial|all other plans fee schedule · inpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 20 | UnitedHealthcare commercial|cascade care case rate · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 21 | Kaiser commercial|ppo fee schedule · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 22 | Regence commercial|all plans case rate · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 23 | Aetna commercial|rental fee schedule · inpatient | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 24 | Aetna commercial|rental fee schedule · outpatient | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 25 | Premera commercial|all plans case rate · outpatient | $24.2k | $24.2k | — | — | — | $24.2k – $24.2k |
Last updated: Feb 28, 2026
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