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
CLOSTRIDIUM TOXIN A W/OPTIC
Chicago, IL
See all hospitals reporting CPT 87803 →Price type
Advocate Trinity Hospital’s median price of $27 is 64% above the median hospital's median price ($17), higher than 86% of the 1,369 hospitals reporting CPT 87803. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | UnitedHealthcare hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Ambetter medicare advantage case rate · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Molina medicare advantage case rate · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Oscar medicare advantage case rate · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Aetna commercial fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 7 | Blue Cross Blue Shield commercial fee schedule · outpatient | $69 | $69 | $3 | 4% | — | $66 – $71 |
| 8 | Cigna commercial fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Blue Cross Blue Shield ppo fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
Last updated: Nov 4, 2025
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