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
MASK FULLFACE PERFORMATRAK LG 10/CA
Dublin, OH
See all hospitals reporting HCPCS A7030 →Price type
Mount Carmel Dublin’s median price of $35 is 69% below the median hospital's median price ($115), higher than 2% of the 722 hospitals reporting HCPCS A7030. 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, 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 asa meritain facility · percent of total billed charges · bothfrom % of charges | $34 | $34 | $0 | 1% | — | $33 – $34 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $35 | $35 | $0 | 1% | — | $34 – $35 |
| 3 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $37 | $37 | $0 | 1% | — | $36 – $37 |
| 4 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | $0 | 1% | — | $37 – $38 |
| 5 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $39 | $38 | $0 | 1% | — | $38 – $39 |
| 6 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $39 | $38 | $0 | 1% | — | $38 – $39 |
| 7 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $40 | $39 | $0 | 1% | — | $39 – $40 |
| 8 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $42 | $41 | $0 | 1% | — | $41 – $42 |
| 9 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $42 | $42 | $0 | 1% | — | $41 – $42 |
| 10 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $43 | $43 | $0 | 1% | — | $42 – $43 |
| 11 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $60 | $60 | $1 | 1% | — | $59 – $60 |
| 12 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $60 | $60 | $1 | 1% | — | $59 – $60 |
| 13 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $75 | $75 | $1 | 1% | — | $74 – $76 |
| 14 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $75 | $75 | $1 | 1% | — | $74 – $76 |
| 15 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $75 | $75 | $1 | 1% | — | $74 – $76 |
Last updated: Mar 31, 2026
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