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
LHC/CORONARIES WO/W LVGRAM
Downers Grove, IL
See all hospitals reporting CPT 93458 →Price type
Advocate Good Samaritan Hospital’s median price of $6.8k is 35% above the median hospital's median price ($5.0k), higher than 61% of the 2,141 hospitals reporting CPT 93458. 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 | Ambetter medicare advantage case rate · outpatient | $4,862 | $4,862 | $4,862 – $4,862 |
| 2 | Molina medicare advantage case rate · outpatient | $4,862 | $4,862 | $4,862 – $4,862 |
| 3 | Oscar medicare advantage case rate · outpatient | $5,029 | $5,029 | $5,029 – $5,029 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $5,569 | $5,569 | $5,460 – $5,678 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5,891 | $5,891 | $5,891 – $5,891 |
| 6 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $6,650 | $6,650 | $6,650 – $6,650 |
| 7 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $6,792 | $6,792 | $6,792 – $6,792 |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $8,103 | $8,103 | $7,786 – $8,419 |
| 9 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $8,736 | $8,736 | $8,736 – $8,736 |
| 10 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $8,736 | $8,736 | $8,736 – $8,736 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $8,867 | $8,867 | $8,867 – $8,867 |
| 12 | UnitedHealthcare commercial case rate · outpatient | $10,607 | $11,801 | $9,155 – $15,641 |
| 13 | UnitedHealthcare hmo case rate · outpatient | $18,102 | $18,102 | $18,102 – $18,102 |
Last updated: Nov 4, 2025
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