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
Ko elas w/ condyle pads otf
Normal, IL
Negotiated rates from the hospital’s own file: 6 payers, 7 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 | Aetna medicare advantage case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 3 | Humana medicare advantage case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Molina medicare-medicaid (d-snp) case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 6 | UnitedHealthcare va ccn/optum case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 7 | WellCare medicare advantage hmo case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |