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 CLRX DST/FIB FX(LAT MAL)W/ MN
Hanover, PA
See all hospitals reporting CPT 27788 →Price type
UPMC Hanover’s median price of $765 is 61% above the median hospital's median price ($476), higher than 69% of the 2,144 hospitals reporting CPT 27788. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 3 | Humana medicare facility · fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 7 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $388 | $388 | — | — | — | $388 – $388 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $481 | $481 | $279 | 58% | — | $202 – $760 |
| 9 | Highmark commercial facility · fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 10 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Mar 6, 2026
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