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
R/LHC WO/W LVGRAM
Chicago, IL
See all hospitals reporting CPT 93453 →Price type
Advocate Trinity Hospital’s median price of $5.0k is about the same as the median hospital's median price ($5.1k), higher than 50% of the 2,048 hospitals reporting CPT 93453. 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 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | $159 | 4% | — | $4.1k – $4.4k |
| 3 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 4 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 5 | Ambetter medicare advantage case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 6 | Molina medicare advantage case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 7 | Oscar medicare advantage case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | $206 | 4% | — | $5.0k – $5.5k |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 12 | UnitedHealthcare commercial case rate · outpatient | $10.6k | $11.8k | $2.8k | 24% | — | $9.2k – $15.6k |
| 13 | UnitedHealthcare hmo case rate · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
Last updated: Nov 4, 2025
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