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
CHANGE GTUBE WO IMAGE W REVISION
Summit, WI
See all hospitals reporting CPT 43763 →Price type
Aurora Medical Center Summit’s median price of $1.5k is 251% above the median hospital's median price ($425), higher than 86% of the 1,921 hospitals reporting CPT 43763. 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, 21 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 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $393 | $393 | — | — | — | $393 – $393 |
| 2 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $531 | $531 | — | — | — | $531 – $531 |
| 3 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
| 4 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
| 5 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $756 | $756 | — | — | — | $756 – $756 |
| 6 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $756 | $756 | — | — | — | $756 – $756 |
| 7 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $770 | $770 | — | — | — | $770 – $770 |
| 8 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $770 | $770 | — | — | — | $770 – $770 |
| 9 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $774 | $774 | — | — | — | $774 – $774 |
| 10 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $774 | $774 | — | — | — | $774 – $774 |
| 11 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $778 | $778 | — | — | — | $778 – $778 |
| 12 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $778 | $778 | — | — | — | $778 – $778 |
| 13 | Anthem blue priority case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Anthem blue preferred case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | UnitedHealthcare exchange case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | UnitedHealthcare charter case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | UnitedHealthcare nexus case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | UnitedHealthcare hmo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Molina commercial case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Cigna ppo-gppo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
Last updated: Nov 21, 2025
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