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
PR LSO SC R POS/LAT PNL PRE OTS
WEXFORD, PA
See all hospitals reporting HCPCS L0649 →Price type
West Penn Allegheny Health System Inc’s median price of $204 is 9% below the median hospital's median price ($223), higher than 30% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 48 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Highmark highmark together blue fee schedule · outpatient | $134.21 | $141.76 | $92.19 – $198.88 |
| 2 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · inpatient | $173.85 | $173.85 | $173.85 – $173.85 |
| 3 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · outpatient | $173.85 | $173.85 | $173.85 – $173.85 |
| 4 | UnitedHealthcare united healthcare commercial fee schedule · inpatient | $182.82 | $182.82 | $182.82 – $182.82 |
| 5 | UnitedHealthcare united healthcare of oh medicaid fee schedule · inpatient | $182.82 | $182.82 | $182.82 – $182.82 |
| 6 | UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient | $182.82 | $182.82 | $182.82 – $182.82 |
| 7 | Highmark highmark my direct blue fee schedule · outpatient | $198.88 | $197.87 | $160.73 – $233.99 |
| 8 | Highmark highmark blue high performance fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 9 | Highmark highmark community blue fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 10 | Highmark highmark connect blue fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 11 | Highmark highmark indemnity fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 12 | Highmark highmark managed care fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 13 | Highmark highmark my blue access fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 14 | Highmark highmark my direct blue fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 15 | Highmark highmark performance blue fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 16 | Highmark highmark social mission indemnity fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 17 | Highmark highmark social mission managed care fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 18 | Highmark highmark together blue fee schedule · inpatient | $198.88 | $198.88 | $198.88 – $198.88 |
| 19 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $215.00 | $215.00 | $175.09 – $254.90 |
| 20 | Highmark highmark complete blue medicare fee schedule · outpatient | $215.00 | $215.00 | $175.09 – $254.90 |
| 21 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $190.32 | $216.74 | $182.82 – $277.07 |
| 22 | Highmark highmark freedom blue fee schedule · outpatient | $217.34 | $217.34 | $177.00 – $257.68 |
| 23 | Highmark highmark social mission indemnity fee schedule · outpatient | $198.88 | $218.93 | $186.46 – $271.45 |
| 24 | Highmark highmark social mission managed care fee schedule · outpatient | $198.88 | $218.93 | $186.46 – $271.45 |
| 25 | Aetna aetna medicare fee schedule · outpatient | $243.04 | $243.04 | $197.93 – $288.15 |
Last updated: Apr 14, 2026
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