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
LSO s/c shell/panel custom
Chicago, IL
See all hospitals reporting HCPCS L0640 →Price type
Advocate Trinity Hospital’s median price of $2.4k is 83% above the median hospital's median price ($1.3k), higher than 92% of the 941 hospitals reporting HCPCS L0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Molina medicare advantage case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Oscar medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $6.1k | $6.1k | $239 | 4% | — | $5.9k – $6.3k |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
Last updated: Nov 4, 2025
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