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
Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)
Jourdanton, TX
See all hospitals reporting CPT 49904 →Price type
Methodist Hospital Atascosa’s median price of $9.1k is 161% above the median hospital's median price ($3.5k), higher than 84% of the 1,209 hospitals reporting CPT 49904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 18 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 | First Health chip per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 2 | First Health chipperinate per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 3 | First Health mcdstar per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 5 | UnitedHealthcare smallgroup case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 6 | UnitedHealthcare charter case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 7 | UnitedHealthcare nexusaco case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 8 | UnitedHealthcare allpayerappendix case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 9 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 10 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 12 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 13 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 14 | Healthcare Highways narrownetwork case rate · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 15 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 16 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 17 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $15.9k | $15.9k | — | — | — | $15.9k – $15.9k |
Last updated: May 1, 2026
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