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
DEFIB COBALT SURESCN XT DR MRI 1/EA DDPA2D4
Normal, IL
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $5k | $5k | — | — | — | $5k – $5k |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $5k | $5k | — | — | — | $5k – $5k |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 9 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 10 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $19.0k | $19.0k | — | — | — | $19.0k – $19.0k |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 12 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $21.0k | $21.0k | — | — | — | $21.0k – $21.0k |
| 13 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $21.0k | $21.0k | — | — | — | $21.0k – $21.0k |
| 14 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $25.8k | $25.8k | — | — | — | $25.8k – $25.8k |