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
PCN G BENZ/PROC 100K
Longview, TX
See all hospitals reporting HCPCS J0558 →Price type
Longview Medical Center LP’s median price of $20 is 20% below the median hospital's median price ($25), higher than 32% of the 1,634 hospitals reporting HCPCS J0558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 35 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 node tx medicaid facility · fee schedule · outpatient | $3 | $3 | $0 | 4% | — | $3 – $4 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $3 | $3 | $0 | 4% | — | $3 – $4 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $3 | $3 | $0 | 4% | — | $3 – $4 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $4 | $4 | $0 | 4% | — | $4 – $4 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $4 | $4 | $0 | 4% | — | $4 – $4 |
| 6 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $7 | $7 | $0 | 4% | — | $7 – $8 |
| 7 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $7 | $8 | $0 | 4% | — | $7 – $8 |
| 8 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $8 | $8 | $0 | 4% | — | $8 – $9 |
| 9 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $12 | $13 | $1 | 4% | — | $12 – $14 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 12 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 13 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Aetna node aetna mcr adv facility · other · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $23 – $25 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $23 – $25 |
| 19 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $26 | $27 | $1 | 4% | — | $26 – $29 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $30 | $31 | $1 | 4% | — | $30 – $33 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $30 | $31 | $1 | 4% | — | $30 – $33 |
| 22 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $36 | $37 | $1 | 4% | — | $36 – $39 |
| 23 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $37 | $38 | $2 | 4% | — | $37 – $41 |
| 24 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $37 | $38 | $2 | 4% | — | $37 – $41 |
| 25 | Blue Cross Blue Shield bcbs tx blue adv facility · percent of total billed charges · outpatientfrom % of charges | $37 | $39 | $2 | 4% | — | $37 – $41 |
Last updated: Apr 1, 2026
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