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
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Cypress, TX
See all hospitals reporting HCPCS L0455 →Price type
Houston Methodist Cypress Hospital’s median price of $267 is 1% below the median hospital's median price ($270), higher than 44% of the 833 hospitals reporting HCPCS L0455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 medicare managed care - hmo fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 8 | Molina exchange fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
Last updated: Apr 1, 2026
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