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
HC Mechanical Thrombectomy Shunt/Fistulogram
Gary, IN
See all hospitals reporting CPT 36904 →Price type
The Methodist Hospitals, Inc.’s median price of $13.1k is 103% above the median hospital's median price ($6.4k), higher than 94% 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: 10 payers, 22 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 navigate and core payer facility · case rate · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 2 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | Aetna medicare advantage facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 4 | Anthem medicare advantage facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 6 | Medicare medicare facility · fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 7 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 9 | Anthem pathway essentials facility · fee schedule · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 10 | Caresource caresource facility · fee schedule · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 11 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 12 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 13 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 14 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 15 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 16 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 17 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 18 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 19 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 20 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 21 | Anthem individual on exchange facility · fee schedule · outpatient | $15.9k | $15.9k | — | — | — | $15.9k – $15.9k |
| 22 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $19.9k | $19.9k | — | — | — | $19.9k – $19.9k |
Last updated: Aug 18, 2026
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