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
XT HDR ELECTRONIC INTST/INTCAV PER FRAC
Haven, FL
See all hospitals reporting CPT 0395T →Price type
Winter Haven Hospital’s median price of $2.8k is 250% above the median hospital's median price ($802), higher than 93% of the 1,005 hospitals reporting CPT 0395T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 42 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 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 2 | Humana medicaid hmo facility · case rate · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 3 | Molina medicaid hmo facility · case rate · outpatient | $310 | $310 | — | — | — | $310 – $310 |
| 4 | Aetna medicaid hmo facility · case rate · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 5 | Aetna medicare ppo facility · fee schedule · outpatient | $696 | $696 | — | — | — | $696 – $696 |
| 6 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $696 | $696 | — | — | — | $696 – $696 |
| 7 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $745 | $745 | — | — | — | $745 – $745 |
| 8 | Aetna medicare hmo facility · fee schedule · outpatient | $801 | $801 | — | — | — | $801 – $801 |
| 9 | Cigna medicare hmo facility · fee schedule · outpatient | $801 | $801 | — | — | — | $801 – $801 |
| 10 | Humana medicare hmo facility · fee schedule · outpatient | $871 | $871 | — | — | — | $871 – $871 |
| 11 | WellCare medicare hmo facility · fee schedule · outpatient | $975 | $975 | — | — | — | $975 – $975 |
| 12 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Ambetter commercial select core facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Ambetter commercial value facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 20 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 25 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: Jan 1, 2026
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