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
DISKOGRAM L/S EA LEVEL S&I
Chicago, IL
See all hospitals reporting CPT 72295 →Price type
Advocate Trinity Hospital’s median price of $2.8k is 42% above the median hospital's median price ($2.0k), higher than 81% of the 1,880 hospitals reporting CPT 72295. 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 | Cigna commercial fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 2 | UnitedHealthcare commercial case rate · outpatient | $293 | $354 | $141 | 40% | — | $220 – $549 |
| 3 | UnitedHealthcare hmo case rate · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $984 | $984 | $39 | 4% | — | $946 – $1.0k |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Aetna commercial fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Ambetter medicare advantage case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Molina medicare advantage case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 9 | Oscar medicare advantage case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 11 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 12 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 13 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
Last updated: Nov 4, 2025
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