GLYTONE TRIPLEBRIGHT RENEWAL / PKG OF 3 TX at Blessing Hospital

Quincy, IL

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Pricing by billing methodology

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Payers reporting HCPCS C0303 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	$128	$128	—	—	—	$128 – $128
2	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
3	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
4	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
5	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
6	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
7	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
9	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
13	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
14	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
15	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$191	$191	—	—	—	$191 – $191
16	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$203	$203	—	—	—	$203 – $203

Last updated: Jun 8, 2026

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