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
HC IR DIALYSIS CIRCUIT MECHANICAL THROMBECTOMY/THR
Lancaster, PA
See all hospitals reporting CPT 36904 →Price type
Lancaster General Health’s median price of $13.3k is 107% above the median hospital's median price ($6.4k), higher than 95% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 34 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 | Medicaid medicaid facility · fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 3 | UnitedHealthcare united healthcare medicaid mco facility · fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 4 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 5 | Medicare medicare facility · fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 6 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 8 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 9 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 11 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 12 | Devoted devoted health medicare advantage facility · other · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 13 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | $257 | 3% | — | $7.3k – $7.9k |
| 14 | Highmark highmark chip facility · other · outpatient | $11.3k | $11.3k | $381 | 3% | — | $10.9k – $11.6k |
| 15 | Oscar oscar health plan facility · other · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 16 | Highmark highmark aca facility · other · outpatient | $13.5k | $13.5k | $458 | 3% | — | $13.1k – $14.0k |
| 17 | Highmark highmark commercial preferred facility · other · outpatient | $15.5k | $15.5k | $526 | 3% | — | $15.0k – $16.1k |
| 18 | Aetna aetna commercial facility · fee schedule · outpatient | $15.7k | $15.7k | $532 | 3% | — | $15.2k – $16.3k |
| 19 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $17.5k | $17.5k | $593 | 3% | — | $16.9k – $18.1k |
| 20 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $18.8k | $18.8k | $635 | 3% | — | $18.1k – $19.4k |
| 21 | Highmark highmark commercial facility · other · outpatient | $19.3k | $19.3k | $654 | 3% | — | $18.7k – $20.0k |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $19.4k | $19.4k | $657 | 3% | — | $18.8k – $20.1k |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $19.7k | $19.7k | $668 | 3% | — | $19.1k – $20.4k |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $19.7k | $19.7k | $668 | 3% | — | $19.1k – $20.4k |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $19.7k | $19.7k | $668 | 3% | — | $19.1k – $20.4k |
Last updated: Mar 31, 2026
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