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
Hcg; Quan 430
LAFAYETTE, IN
See all hospitals reporting CPT 84702 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $180 is 572% above the median hospital's median price ($27), higher than 94% of the 2,618 hospitals reporting CPT 84702. 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, 19 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 anthem healthsync hmo with copps - lafayette fee schedule · both | $11.89 | $11.89 | $11.89 – $11.89 |
| 2 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $13.47 | $13.47 | $13.47 – $13.47 |
| 3 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 4 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 5 | Bcbs In anthem blue access ppo-cid fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 6 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 7 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 8 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 9 | Medicaid in mcd-wir-lafayette fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 10 | Medicare medicare-wir-lafayette fee schedule · both | $15.05 | $15.05 | $15.05 – $15.05 |
| 11 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $18.06 | $18.06 | $18.06 – $18.06 |
| 12 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $25.10 | $25.10 | $25.10 – $25.10 |
| 13 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $162.48 | $162.48 | $162.26 – $162.69 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $180.40 | $180.40 | $180.16 – $180.64 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $198.71 | $198.71 | $198.44 – $198.97 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $242.37 | $242.37 | $242.04 – $242.69 |
| 17 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $256.60 | $256.60 | $256.25 – $256.94 |
| 18 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $269.29 | $269.29 | $268.93 – $269.65 |
| 19 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $298.80 | $298.80 | $298.40 – $299.20 |
Last updated: Jan 1, 2026
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