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
LIVER DS ALYS 3 BMRK SRM ALG
Chicago, IL
See all hospitals reporting CPT 81517 →Price type
Advocate Trinity Hospital’s median price of $255 is 37% above the median hospital's median price ($187), higher than 69% of the 1,672 hospitals reporting CPT 81517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 2 | UnitedHealthcare hmo fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Ambetter medicare advantage case rate · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 4 | Molina medicare advantage case rate · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 5 | Oscar medicare advantage case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 6 | Cigna commercial fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Nov 4, 2025
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