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
11404,RT EXC TR-EXT B9+MARG 3.1-4 CM
Wayne, IN
See all hospitals reporting CPT 11404 →Price type
St. Joseph Health System, LLC’s median price of $520 is 70% below the median hospital's median price ($1.7k), higher than 18% of the 2,289 hospitals reporting CPT 11404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 46 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $183 | $183 | $15 | 8% | — | $168 – $198 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $206 | $206 | $17 | 8% | — | $189 – $223 |
| 3 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $261 | $261 | $22 | 8% | — | $239 – $282 |
| 4 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $386 | $386 | $32 | 8% | — | $354 – $418 |
| 5 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $391 | $391 | $32 | 8% | — | $359 – $424 |
| 6 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $391 | $391 | $32 | 8% | — | $359 – $424 |
| 7 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $425 | $425 | $35 | 8% | — | $390 – $461 |
| 8 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $442 | $442 | $37 | 8% | — | $406 – $479 |
| 9 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $442 | $442 | $37 | 8% | — | $406 – $479 |
| 10 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $454 | $454 | $38 | 8% | — | $416 – $491 |
| 11 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $567 | $567 | $47 | 8% | — | $520 – $614 |
| 12 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $567 | $567 | $47 | 8% | — | $520 – $614 |
| 13 | Anthem anthem in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 14 | Caresource caresource hhw in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Caresource caresource in hip facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Humana humana pathways in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Medicaid in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $1.6k | $2.8k | 177% | 1–10 | $168 – $7.1k |
| 22 | Tricare node tricare facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Humana node humana mcr adv facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Apr 1, 2026
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