Omental tissue transfer within abdomen at Holy Cross Hospital-Silver Spring

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Omental Flap Intra Abdominal|ASSISTANT AT SURGERY SERVICE

Silver Spring, MD

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $120 is 95% below the median hospital's median price ($2.4k), higher than 1% of the 1,385 hospitals reporting CPT 49905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 49905 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 34 payers, 41 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 aetna medicare advantage professional · fee schedule · both	$54	$54	—	—	—	$54 – $54
2	Humana tricare professional · fee schedule · both	$58	$58	—	—	—	$58 – $58
3	Tricare tricare professional · fee schedule · both	$58	$58	—	—	—	$58 – $58
4	Aetna aetna professional · fee schedule · both	$83	$83	—	—	—	$83 – $83
5	Humana tricare professional · fee schedule · inpatient	$174	$174	$132	76%	—	$42 – $306
6	Tricare tricare professional · fee schedule · inpatient	$174	$174	$132	76%	—	$42 – $306
7	Humana tricare professional · fee schedule · outpatient	$209	$209	$151	72%	—	$58 – $360
8	Tricare tricare professional · fee schedule · outpatient	$209	$209	$151	72%	—	$58 – $360
9	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
10	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
12	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
14	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
15	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
16	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
17	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
18	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
19	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
20	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
21	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
22	Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
23	Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
24	Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750
25	Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$120	$330	$297	90%	—	$120 – $750

Page 1 of 2 · 41 rates

Last updated: Mar 31, 2026

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