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
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Edmonds, WA
See all hospitals reporting HCPCS L0455 →Price type
Swedish Edmonds’s median price of $142 is 47% below the median hospital's median price ($269), higher than 6% of the 827 hospitals reporting HCPCS L0455. 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, 9 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 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Kaiser all commercial plans fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 9 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
Last updated: Apr 1, 2026
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