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
BULKING AGENT-VESIC REFLUX 1ML
Erie, PA
See all hospitals reporting HCPCS L8604 →Price type
UPMC Hamot’s median price of $3.1k is 15% below the median hospital's median price ($3.6k), higher than 42% of the 526 hospitals reporting HCPCS L8604. 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, 24 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 9 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 16 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 18 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | Highmark upmc emergent facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 23 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 24 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Mar 6, 2026
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