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
EMBOLI DET WO MBUB INJ TCD ICR ART COMPL
Summit, WI
See all hospitals reporting CPT 93897 →Price type
Aurora Medical Center Summit’s median price of $819 is 137% above the median hospital's median price ($346), higher than 80% of the 738 hospitals reporting CPT 93897. 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 | UnitedHealthcare exchange case rate · outpatient | $662 | $662 | — | — | — | $662 – $662 |
| 2 | UnitedHealthcare charter case rate · outpatient | $666 | $666 | — | — | — | $666 – $666 |
| 3 | UnitedHealthcare nexus case rate · outpatient | $666 | $666 | — | — | — | $666 – $666 |
| 4 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $673 | $673 | — | — | — | $673 – $673 |
| 5 | UnitedHealthcare hmo case rate · outpatient | $728 | $728 | — | — | — | $728 – $728 |
| 6 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $756 | $756 | — | — | — | $756 – $756 |
| 7 | Anthem blue priority case rate · outpatient | $791 | $791 | — | — | — | $791 – $791 |
| 8 | Molina commercial case rate · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 9 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $945 | $945 | — | — | — | $945 – $945 |
| 10 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $945 | $945 | — | — | — | $945 – $945 |
| 11 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $945 | $945 | — | — | — | $945 – $945 |
| 12 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $945 | $945 | — | — | — | $945 – $945 |
| 13 | Anthem blue preferred case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Nov 21, 2025
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