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 CLRCT SCR 3 PRTN ALG
Summit, WI
See all hospitals reporting CPT 0163U →Price type
Aurora Medical Center Summit’s median price of $871 is 117% above the median hospital's median price ($402), higher than 86% of the 1,096 hospitals reporting CPT 0163U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 charter fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 5 | Anthem blue priority fee schedule · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 6 | Anthem blue preferred fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 7 | Aetna hmo fee schedule · outpatient | $871 | $871 | — | — | — | $871 – $871 |
| 8 | Healthpartners employee trust fund fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Molina commercial fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Healthpartners robin fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Nov 21, 2025
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