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
PAD KT CLLR MIAMI J SM MJR-300
Enumclaw, WA
See all hospitals reporting HCPCS L0174 →Price type
Enumclaw Regional Hospital Association’s median price of $94 is 71% below the median hospital's median price ($325), higher than 10% of the 1,311 hospitals reporting HCPCS L0174. 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, 29 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 | Kaiser medicare|all plans fee schedule · outpatient | $52 | $52 | $6 | 12% | — | $46 – $58 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $52 | $52 | $6 | 12% | — | $46 – $58 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $52 | $52 | $6 | 12% | — | $46 – $58 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $52 | $52 | $6 | 12% | — | $46 – $59 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $53 | $53 | $6 | 12% | — | $47 – $60 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $53 | $53 | $6 | 12% | — | $47 – $60 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $55 | $55 | $7 | 12% | — | $49 – $62 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $56 | $56 | $7 | 12% | — | $49 – $63 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $56 | $56 | $7 | 12% | — | $49 – $63 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $63 | $63 | $8 | 12% | — | $56 – $71 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $85 | $85 | $10 | 12% | — | $75 – $96 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $86 | $86 | $10 | 12% | — | $76 – $96 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $99 | $99 | $12 | 12% | — | $88 – $111 |
| 14 | Aetna commercial|awh fee schedule · inpatient | $115 | $115 | $14 | 12% | — | $101 – $129 |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $138 | $138 | $17 | 12% | — | $122 – $155 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $141 | $141 | $17 | 12% | — | $124 – $158 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $141 | $141 | $17 | 12% | — | $124 – $158 |
| 18 | Cigna commercial|all plans fee schedule · outpatient | $144 | $144 | $17 | 12% | — | $127 – $161 |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $150 | $150 | $18 | 12% | — | $132 – $168 |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $158 | $158 | $19 | 12% | — | $139 – $177 |
| 21 | Aetna commercial|rental fee schedule · inpatient | $207 | $207 | $25 | 12% | — | $182 – $232 |
| 22 | Aetna commercial|rental fee schedule · outpatient | $207 | $207 | $25 | 12% | — | $182 – $232 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $259 | $259 | $31 | 12% | — | $228 – $290 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $259 | $259 | $31 | 12% | — | $228 – $290 |
| 25 | Premera commercial|all plans fee schedule · outpatient | $288 | $288 | $35 | 12% | — | $253 – $322 |
Last updated: Feb 28, 2026
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