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
Pfas 9 cmpnd lcms/ms pls/sr
Edmonds, WA
See all hospitals reporting CPT 0457U →Price type
Swedish Edmonds’s median price of $219 is 7% above the median hospital's median price ($203), higher than 74% of the 1,232 hospitals reporting CPT 0457U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 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 | UnitedHealthcare aco tiered/doctors plan other commercial plan fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 3 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 4 | Humana choice care medicare managed care plan fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 5 | Molina medicare managed care plan fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 6 | UnitedHealthcare all commercial plans fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Kaiser all commercial plans fee schedule · outpatient | $298 | $298 | — | — | — | $298 – $298 |
| 8 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
Last updated: Apr 1, 2026
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