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
BX BRST-PERC VAC/ROTAT DEV W/G
Washington, PA
See all hospitals reporting CPT 19103 →Price type
UPMC Washington’s median price of $457 is 88% below the median hospital's median price ($3.8k), higher than 7% of the 394 hospitals reporting CPT 19103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $359 | $359 | $97 | 27% | — | $262 – $456 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $359 | $359 | $97 | 27% | — | $262 – $456 |
| 3 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $386 | $386 | $104 | 27% | — | $282 – $490 |
| 4 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $449 | $449 | $121 | 27% | — | $328 – $570 |
| 5 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $479 | $479 | $129 | 27% | — | $350 – $608 |
| 6 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $494 | $494 | $133 | 27% | — | $361 – $627 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $494 | $494 | $133 | 27% | — | $361 – $627 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $538 | $538 | $145 | 27% | — | $393 – $683 |
| 9 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $646 | $646 | $174 | 27% | — | $472 – $820 |
Last updated: Mar 6, 2026
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