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 RT L/S PHOSPHATIDYL GLYCEROL
Lancaster, PA
See all hospitals reporting CPT 82489 →Price type
Lancaster General Health’s median price of $103 is 87% above the median hospital's median price ($55), higher than 84% of the 308 hospitals reporting CPT 82489. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Highmark highmark chip facility · other · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Aetna aetna medicare advantage facility · other · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Highmark highmark aca facility · other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Highmark highmark commercial preferred facility · other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Highmark highmark commercial facility · other · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Devoted devoted health medicare advantage facility · other · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Highmark highmark commercial non-preferred facility · other · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 11 | Oscar oscar health plan facility · other · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 12 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 14 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 15 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 16 | Blue Cross Blue Shield cbc commercial facility · other · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 18 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 19 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 20 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 21 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 22 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 23 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 24 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 25 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
Last updated: Mar 31, 2026
See Thin-layer chromatography test, unscheduled pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.