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
W PREP TK/AM/LG 100 SQ CM/1% B
Hialeah, FL
See all hospitals reporting CPT 15002 →Price type
Hsa Pgh Llc’s median price of $2.3k is 47% above the median hospital's median price ($1.6k), higher than 76% of the 2,043 hospitals reporting CPT 15002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 43 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 2 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 3 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $749 | $749 | — | — | — | $749 – $749 |
| 4 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 5 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 6 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 7 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 8 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $908 | $908 | — | — | — | $908 – $908 |
| 9 | Molina molina managed medicaid facility · other · outpatient | $922 | $922 | — | — | — | $922 – $922 |
| 10 | UnitedHealthcare united healthcare of florida exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | UnitedHealthcare united healthcare of florida all payer facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | UnitedHealthcare united healthcare of florida hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | UnitedHealthcare united healthcare of florida ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Humana humana commercial hmo facility · other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Humana humana commercial ppo facility · other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Humana humana medicare hmo facility · fee schedule · outpatient | $2.5k | $2.5k | $1.8k | 71% | — | $745 – $4.3k |
| 17 | Humana humana medicare ppo facility · fee schedule · outpatient | $2.5k | $2.5k | $1.8k | 71% | — | $745 – $4.3k |
| 18 | Medicare medicare facility · fee schedule · outpatient | $2.6k | $2.6k | $1.8k | 70% | — | $759 – $4.4k |
| 19 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $2.6k | $2.6k | $1.8k | 70% | — | $759 – $4.4k |
| 20 | Cigna cigna surefit facility · fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 21 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $2.6k | $2.6k | $1.8k | 71% | — | $772 – $4.5k |
| 22 | Devoted devoted health facility · fee schedule · outpatient | $2.6k | $2.6k | $1.8k | 71% | — | $772 – $4.5k |
| 23 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $2.6k | $2.6k | $1.8k | 71% | — | $772 – $4.5k |
| 24 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Sep 1, 2026
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