RESURFX AROUND MOUTH 3 TREATMENTS at Blessing Hospital

Quincy, IL

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Pricing by billing methodology

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Payers reporting HCPCS C0105 at Blessing Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 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 commercial facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
2	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
3	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
4	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
5	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
6	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
7	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
9	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
13	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
14	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
15	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$515	$515	—	—	—	$515 – $515
16	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$549	$549	—	—	—	$549 – $549

Last updated: Jun 8, 2026

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