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
SET CYSTO IRRIGATING CS/20
San Angelo, TX
See all hospitals reporting HCPCS A4355 →Price type
Shannon River Crest Hospital’s median price of $16 is 24% above the median hospital's median price ($13), higher than 78% of the 702 hospitals reporting HCPCS A4355. 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, 17 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 | Humana medicare advantage facility · case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | 14 | $16 – $16 |
| 11 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 12 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 15 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Ambetter ppo facility · case rate · outpatient | $27 | $27 | — | — | — | $27 – $27 |
Last updated: Dec 8, 2025
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