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
O/P HCPCS/CPT
Chicago, IL
See all hospitals reporting HCPCS Q4109 →Price type
Advocate Trinity Hospital’s median price of $415 is 66% above the median hospital's median price ($250), higher than 74% of the 23 hospitals reporting HCPCS Q4109. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 2 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 | Blue Cross Blue Shield commercial fee schedule · outpatient | $400 | $400 | $16 | 4% | — | $384 – $415 |
| 2 | Blue Cross Blue Shield ppo fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
Last updated: Nov 4, 2025
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