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
ONC OVAR 5 PRTN SER ALG SCOR
Village, IL
See all hospitals reporting CPT 0003U →Price type
Alexian Brothers Medical Center’s median price of $979 is about the same as the median hospital's median price ($979), higher than 47% of the 1,251 hospitals reporting CPT 0003U. 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, 26 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 1663_medicare advantage uhc inpatient (ab,sa) 95% 20231001 other · inpatient | $902.50 | $902.50 | $902.50 – $902.50 |
| 2 | UnitedHealthcare 1695_medicare advantage uhc outpatient (ab,sa) 95% 20240101 other · outpatient | $902.50 | $902.50 | $902.50 – $902.50 |
| 3 | Aetna 1657_medicare advantage aetna inpatient (ab,sa) 20231001 other · inpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 4 | Aetna 1689_medicare advantage aetna outpatient (ab,sa) 20240101 other · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 5 | Blue Cross Blue Shield 1690_medicare advantage bcbs outpatient (ab,sa) 20240101 other · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 6 | Blue Cross Blue Shield 1733_medicare advantage bcbs inpatient (ab,sa) 20240101 other · inpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 7 | Cigna 1614_cigna (ab,sa) 20231001 fee schedule · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 8 | Humana 1659_medicare advantage humana inpatient (ab,sa) 20231001 other · inpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 9 | Humana 1691_medicare advantage humana outpatient (ab,sa) 20240101 other · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 10 | UnitedHealthcare 1661_medicare advantage uhc inpatient 100% (ab,sa) 20231001 other · inpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 11 | UnitedHealthcare 1694_medicare advantage uhc outpatient (ab,sa) 100% 20240101 other · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 12 | UnitedHealthcare 1711_uhc (ab,sa) 20240101 fee schedule · outpatient | $950.00 | $950.00 | $950.00 – $950.00 |
| 13 | UnitedHealthcare 1662_medicare advantage uhc inpatient (ab,sa) 101% 20231001 other · inpatient | $959.50 | $959.50 | $959.50 – $959.50 |
| 14 | Molina 1645_medicare advantage molina hc of il inpatient 103% 20231001 other · inpatient | $978.50 | $978.50 | $978.50 – $978.50 |
| 15 | Molina 1693_medicare advantage molina hc of il outpatient (ab,sa) 103% 20240101 other · outpatient | $978.50 | $978.50 | $978.50 – $978.50 |
| 16 | Aetna Better Health 1656_medicare advantage aetna better health inpatient (ab,sa) 20231001 other · inpatient | $997.50 | $997.50 | $997.50 – $997.50 |
| 17 | Aetna Better Health 1688_medicare advantage aetna better health outpatient (ab,sa) 20240101 other · outpatient | $997.50 | $997.50 | $997.50 – $997.50 |
| 18 | UnitedHealthcare 1672_uhc (bo,go,hn,lg) 20231001 other · outpatient | $1,140 | $1,140 | $1,140 – $1,140 |
| 19 | Blue Cross Blue Shield 1681_blue cross blue shield focus care (ab) outpatient 20240101 other · outpatient | $1,245 | $1,245 | $1,245 – $1,245 |
| 20 | Blue Cross Blue Shield 1731_blue cross blue shield focus care (ab) inpatient 20240101 other · inpatient | $1,245 | $1,245 | $1,245 – $1,245 |
| 21 | Blue Cross Blue Shield 1729_blue cross blue shield bcs (ab) inpatient 20240101 other · inpatient | $1,264 | $1,264 | $1,264 – $1,264 |
| 22 | Ambetter 1646_ambetter (ab,sa) inpatient 20231001 other · inpatient | $1,539 | $1,539 | $1,539 – $1,539 |
| 23 | Ambetter 1683_ambetter (ab,sa) outpatient 20240101 other · outpatient | $1,539 | $1,539 | $1,539 – $1,539 |
| 24 | Blue Cross Blue Shield 1700_blue cross blue shield bcs (ab) outpatient 20240101 other · outpatient | $1,663 | $1,663 | $1,663 – $1,663 |
| 25 | Aetna 1717_aetna hmo (ab,sa) 20240101 other · outpatient | $2,223 | $2,223 | $2,223 – $2,223 |
Last updated: Jan 1, 2026
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