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
Mesial/distal wedge proc
Saint Louis, MO
See all hospitals reporting HCPCS D4274 →Price type
SSM-SLUH, Inc.’s median price of $656 is 49% below the median hospital's median price ($1.3k), higher than 17% of the 520 hospitals reporting HCPCS D4274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $485 | $549 | $206 | 37% | — | $294 – $918 |
| 2 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $495 | $563 | $210 | 37% | — | $300 – $937 |
| 3 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $495 | $579 | $214 | 37% | — | $300 – $937 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 5 | Aetna medicare managed care plan fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 6 | Humana medicare managed care plan fee schedule · outpatient | $659 | $659 | — | — | — | $659 – $659 |
| 7 | Aetna advantra medicare managed care plan fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 8 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $714 | $691 | $267 | 39% | — | $323 – $1.0k |
| 9 | Oscar exchange fee schedule · outpatient | $777 | $777 | — | — | — | $777 – $777 |
| 10 | Aetna carelink all commercial plans fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Cigna all commercial plans fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 12 | Aetna all commercial plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: Apr 1, 2026
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