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
PR Lam W Decmpr Nvr Root Exc Hivd 1 Interspace
Dublin, OH
See all hospitals reporting CPT 63030 →Price type
Mount Carmel Dublin’s median price of $8.4k is 14% above the median hospital's median price ($7.4k), higher than 66% of the 1,922 hospitals reporting CPT 63030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 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 neighborhood narrow network facility · case rate · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 2 | Aetna aetna medicare advantage facility · other · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 3 | Anthem anthem bcbs medicare advantage facility · other · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 5 | Medical Mutual medical mutual medicare advantage facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 6 | Aetna aetna better health medicare advantage facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 7 | Molina molina medicare advantage facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 8 | Caresource caresource medicare advantage facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 9 | UnitedHealthcare united healthcare exchange facility · fee schedule · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 10 | Aetna aetna facility · fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 11 | Oscar oscar facility · other · outpatient | $11.5k | $11.5k | — | — | 1–10 | $11.5k – $11.5k |
| 12 | UnitedHealthcare united healthcare ppo facility · fee schedule · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 13 | Medical Mutual medical mutual medflex facility · other · outpatient | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 14 | Anthem anthem bcbs pathway grp hmo facility · other · outpatient | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 15 | Medical Mutual medical mutual supermed ppo pos hmo facility · other · outpatient | $23.7k | $23.7k | — | — | — | $23.7k – $23.7k |
Last updated: Mar 31, 2026
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