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 LIPISCAN
York, PA
See all hospitals reporting CPT 0205T →Price type
UPMC Memorial’s median price of $368 is 80% below the median hospital's median price ($1.9k), higher than 12% of the 269 hospitals reporting CPT 0205T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 4 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
| 5 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 6 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $369 | $369 | — | — | — | $369 – $369 |
| 8 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $553 | $553 | — | — | — | $553 – $553 |
| 9 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $553 | $553 | — | — | — | $553 – $553 |
| 10 | Blue Cross Blue Shield chip facility · case rate · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 11 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 12 | Cigna commercial facility · case rate · outpatient | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
Last updated: Mar 6, 2026
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