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 INTRATUBAL OCCLUSION DEVICE W/DELVRY SYS LVL 21
Lancaster, PA
See all hospitals reporting HCPCS A4264 →Price type
Lancaster General Health’s median price of $1.6k is 4% above the median hospital's median price ($1.5k), higher than 53% of the 585 hospitals reporting HCPCS A4264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Aetna aetna medicare advantage facility · other · outpatient | $522 | $503 | $109 | 22% | — | $337 – $690 |
| 2 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $526 | $507 | $110 | 22% | — | $340 – $696 |
| 3 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $723 | $697 | $151 | 22% | — | $468 – $956 |
| 4 | Devoted devoted health medicare advantage facility · other · outpatient | $884 | $853 | $184 | 22% | — | $572 – $1.2k |
| 5 | Highmark highmark chip facility · other · outpatient | $1.1k | $1.0k | $223 | 22% | — | $693 – $1.4k |
| 6 | Oscar oscar health plan facility · other · outpatient | $1.1k | $1.0k | $226 | 22% | — | $701 – $1.4k |
| 7 | Highmark highmark aca facility · other · outpatient | $1.3k | $1.2k | $268 | 22% | — | $833 – $1.7k |
| 8 | Tricare tricare facility · fee schedule · outpatient | $1.3k | $1.3k | $276 | 22% | — | $858 – $1.8k |
| 9 | Highmark highmark commercial preferred facility · other · outpatient | $1.5k | $1.4k | $308 | 22% | — | $957 – $2.0k |
| 10 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.4k | $312 | 22% | — | $968 – $2.0k |
| 12 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.6k | $348 | 22% | — | $1.1k – $2.2k |
| 13 | Highmark highmark commercial facility · other · outpatient | $1.8k | $1.8k | $383 | 22% | — | $1.2k – $2.4k |
| 14 | Blue Cross Blue Shield cbc commercial facility · other · outpatient | $1.8k | $1.8k | $384 | 22% | — | $1.2k – $2.4k |
| 15 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $385 | 22% | — | $1.2k – $2.4k |
| 16 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.8k | $391 | 22% | — | $1.2k – $2.5k |
| 17 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.8k | $391 | 22% | — | $1.2k – $2.5k |
| 18 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 19 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 20 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 21 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 22 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 23 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 24 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 25 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
Last updated: Mar 31, 2026
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