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 AORT ABD & BILAT LOW EXT
Lititz, PA
See all hospitals reporting CPT 75630 →Price type
UPMC Lititz’s median price of $4.4k is 34% above the median hospital's median price ($3.3k), higher than 77% of the 2,136 hospitals reporting CPT 75630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 20 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 pa medicaid facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $310 | $310 | — | — | — | $310 – $310 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Highmark medicare facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 5 | Aetna medicare facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Cigna medicare facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 12 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 14 | Highmark medicaid facility · fee schedule · outpatient | $4.8k | $4.8k | $4.5k | 94% | — | $310 – $9.3k |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 18 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 19 | Highmark commercial facility · fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 20 | Cigna commercial facility · fee schedule · outpatient | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
Last updated: Mar 6, 2026
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