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
EVL LNG COMP/EXP PER 15" PA
Downers Grove, IL
See all hospitals reporting CPT 92523 →Price type
Advocate Good Samaritan Hospital’s median price of $405 is 45% above the median hospital's median price ($279), higher than 76% of the 2,481 hospitals reporting CPT 92523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 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 commercial case rate · outpatient | $274.00 | $305.67 | $238.00 – $405.00 |
| 2 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $321.01 | $321.01 | $75.53 – $566.48 |
| 3 | Ambetter medicare advantage case rate · outpatient | $333.34 | $333.34 | $333.34 – $333.34 |
| 4 | Molina medicare advantage case rate · outpatient | $333.34 | $333.34 | $333.34 – $333.34 |
| 5 | Oscar medicare advantage case rate · outpatient | $344.83 | $344.83 | $344.83 – $344.83 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $319.20 | $351.05 | $72.80 – $693.00 |
| 7 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $459.94 | $459.94 | $108.22 – $811.65 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $468.86 | $468.86 | $110.32 – $827.40 |
| 9 | UnitedHealthcare hmo case rate · outpatient | $469.00 | $469.00 | $469.00 – $469.00 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $476.00 | $476.00 | $112.00 – $840.00 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $476.00 | $476.00 | $112.00 – $840.00 |
| 12 | Blue Cross Blue Shield commercial fee schedule · outpatient | $967.15 | $967.15 | $929.32 – $1,005 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,058 | $1,058 | $1,058 – $1,058 |
Last updated: Nov 4, 2025
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