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
Mra, W/Dye, Upper Extremity
Peoria, IL
See all hospitals reporting HCPCS C8934 →Price type
Proctor Community Hospital’s median price of $850 is 55% above the median hospital's median price ($549), higher than 70% of the 1,313 hospitals reporting HCPCS C8934. 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, 24 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 medicare advantage case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 3 | Humana medicare advantage case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 5 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 6 | UnitedHealthcare medicare advantage case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 7 | UnitedHealthcare va ccn case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 9 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $438 | $438 | — | — | — | $438 – $438 |
| 10 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 11 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $819 | $819 | — | — | — | $819 – $819 |
| 12 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $819 | $819 | — | — | — | $819 – $819 |
| 13 | Aetna commercial ppo fee schedule · outpatient | $850 | $850 | — | — | — | $850 – $850 |
| 14 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 16 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 17 | UnitedHealthcare ppo case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Cigna ppo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 15, 2026
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