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
Pre-op service LVRS 1-9 dos
Edmonds, WA
See all hospitals reporting HCPCS G0304 →Price type
Swedish Edmonds’s median price of $765 is 44% above the median hospital's median price ($532), higher than 80% of the 977 hospitals reporting HCPCS G0304. 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, 15 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 | Kaiser medicare managed care plan fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $510 | $510 | — | — | — | $510 – $510 |
| 8 | Kaiser all commercial plans fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 9 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $765 | $765 | — | — | — | $765 – $765 |
| 10 | UnitedHealthcare aco tiered/doctors plan other commercial plan fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Blue Cross Blue Shield premera heritage exchange fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Blue Cross Blue Shield regence all commercial plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Blue Cross Blue Shield uniform medical plan exchange fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | UnitedHealthcare all commercial plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 1, 2026
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