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
Lso r post pnl sj-t9 pre cst
Cypress, TX
See all hospitals reporting HCPCS L0630 →Price type
Houston Methodist Cypress Hospital’s median price of $210 is 2% above the median hospital's median price ($206), higher than 56% of the 933 hospitals reporting HCPCS L0630. 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 | $200 | $200 | — | — | — | $200 – $200 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 8 | Molina exchange fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
Last updated: Apr 1, 2026
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