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
LSO SAG-CORONAL PANEL CUSTOM
Duluth, GA
See all hospitals reporting HCPCS L0638 →Price type
Northside Hospital, Inc.’s median price of $1.6k is 4% below the median hospital's median price ($1.7k), higher than 28% of the 918 hospitals reporting HCPCS L0638. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 122 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 | Caresource caresource other · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 2 | Cigna cigna healthsprings medicare advantage other · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 3 | Blue Cross Blue Shield bcbs_pathway other · inpatient | $559 | $559 | — | — | — | $559 – $559 |
| 4 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $559 | $559 | — | — | — | $559 – $559 |
| 5 | Blue Cross Blue Shield bcbs_pathway-l other · inpatient | $559 | $559 | — | — | — | $559 – $559 |
| 6 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $559 | $559 | — | — | — | $559 – $559 |
| 7 | Blue Cross Blue Shield blue hpn other · inpatient | $924 | $924 | — | — | — | $924 – $924 |
| 8 | Blue Cross Blue Shield blue hpn other · outpatient | $924 | $924 | — | — | — | $924 – $924 |
| 9 | Blue Cross Blue Shield blue hpn-l other · inpatient | $924 | $924 | — | — | — | $924 – $924 |
| 10 | Blue Cross Blue Shield blue hpn-l other · outpatient | $924 | $924 | — | — | — | $924 – $924 |
| 11 | Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | UnitedHealthcare uhc ga individual exchange other · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare uhc ga individual exchange other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Blue Cross Blue Shield bcbs_hmo other · inpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Blue Cross Blue Shield bcbs_hmo other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Blue Cross Blue Shield bcbs_hmo-l other · inpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Blue Cross Blue Shield bcbs_hmo-l other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Phcs phcs percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Phcs phcs percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Blue Cross Blue Shield bcbs_ppo other · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Blue Cross Blue Shield bcbs_ppo other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Blue Cross Blue Shield bcbs_ppo-l other · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Blue Cross Blue Shield bcbs_ppo-l other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Feb 14, 2026
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