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 COMP REP F/C/C/M/N/H/F ADL5CLS
York, PA
See all hospitals reporting CPT 13133 →Price type
UPMC Memorial’s median price of $1.0k is 75% above the median hospital's median price ($578), higher than 67% of the 1,944 hospitals reporting CPT 13133. 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, 13 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 · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $750 | $750 | — | — | — | $750 – $750 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $871 | $871 | — | — | — | $871 – $871 |
| 7 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $886 | $886 | — | — | — | $886 – $886 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Blue Cross Blue Shield chip facility · case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Mar 6, 2026
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