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
CARTRIDGE IMMOB1.04 2.52IN ALC
Pittsburgh, PA
See all hospitals reporting HCPCS B4105 →Price type
UPMC Presbyterian’s median price of $512 is 279% above the median hospital's median price ($135), higher than 94% of the 344 hospitals reporting HCPCS B4105. 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, 16 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 | Highmark medicare advantage facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 4 | Highmark managed care facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Highmark commercial - indemnity facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 6 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 7 | Highmark upmc emergent facility · fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 9 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $288 | $288 | — | — | — | $288 – $288 |
| 10 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 11 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 12 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 13 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $546 | $546 | — | — | — | $546 – $546 |
| 14 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | — | — | — | $546 – $546 |
| 15 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
| 16 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
Last updated: Mar 6, 2026
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