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 BULKING AGENT-VESIC REFLUX 1ML
Pittsburgh, PA
See all hospitals reporting HCPCS L8604 →Price type
UPMC Passavant - McCandless’s median price of $4.4k is 22% above the median hospital's median price ($3.6k), higher than 56% 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Highmark managed care - social mission facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | Highmark managed care facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 12 | Highmark commercial - indemnity facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 15 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | MultiPlan ppo (includes workers' comp) facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 18 | MultiPlan ppo (includes workers' comp) facility · percent of total billed charges · inpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 19 | Highmark upmc emergent facility · fee schedule · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
Last updated: Mar 7, 2026
See Prefilled Deflux injectable gel syringe, 1 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.