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
Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi
Austin, TX
See all hospitals reporting CPT 36904 →Price type
St.davids Surgical Hospital’s median price of $8.8k is 36% above the median hospital's median price ($6.4k), higher than 76% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 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 | Superior Healthplan chip case rate · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 2 | Superior Healthplan chpfc case rate · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 3 | Superior Healthplan star case rate · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 4 | Superior Healthplan starplus case rate · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 5 | Humana mgmcd fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Aetna Better Health mcd fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 7 | Aetna narrownetwork case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | UnitedHealthcare narrownetworkhix case rate · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 9 | Aetna comm case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 10 | Aetna meritain case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 11 | UnitedHealthcare smallgroup case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | Aetna asa case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 13 | Aetna oon case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 14 | Oscar hix case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 15 | Oscar hmo case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 17 | Oscar epo case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 18 | Oscar pos case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 19 | Oscar ppo case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 20 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 21 | UnitedHealthcare allpayerappendix case rate · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 24 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 25 | Healthcare Highways epo case rate · outpatient | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
Last updated: Sep 1, 2026
See Dialysis access clot removal using catheter procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.