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
WALKER WEE VECTRA LARGE BL0100-040
San Angelo, TX
See all hospitals reporting HCPCS L4386 →Price type
Shannon River Crest Hospital’s median price of $92 is 53% below the median hospital's median price ($195), higher than 13% of the 1,442 hospitals reporting HCPCS L4386. 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 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $68 | $146 | $136 | 93% | — | $68 – $381 |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $68 | $146 | $136 | 93% | — | $68 – $381 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $74 | $160 | $148 | 93% | — | $74 – $416 |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $77 | $166 | $154 | 93% | — | $77 – $433 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $80 | $173 | $160 | 93% | — | $80 – $450 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $80 | $173 | $160 | 93% | — | $80 – $450 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $82 | $177 | $164 | 93% | — | $82 – $462 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $82 | $177 | $164 | 93% | — | $82 – $462 |
| 16 | Humana medicare advantage facility · case rate · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 17 | Ambetter ppo facility · case rate · outpatient | $413 | $413 | — | — | — | $413 – $413 |
Last updated: Dec 8, 2025
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