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
PR SHO INSERT W ARCH TOE FILLER
Mount Vernon, IL
See all hospitals reporting HCPCS L5000 →Price type
Deaconess Illinois Crossroads Inc’s median price of $777 is 12% above the median hospital's median price ($692), higher than 63% of the 897 hospitals reporting HCPCS L5000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 29 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 Better Health managed medicaid professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Molina managed medicaid professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $371 | $371 | — | — | — | $371 – $371 |
| 6 | UnitedHealthcare commercial professional · fee schedule · both | $519 | $519 | $173 | 33% | — | $345 – $692 |
| 7 | Bcbs Il blue choice ppo professional · fee schedule · both | $526 | $526 | — | — | — | $526 – $526 |
| 8 | Bcbs Il hmo/ppo professional · fee schedule · both | $526 | $526 | — | — | — | $526 – $526 |
| 9 | Aetna medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 10 | Aetna Better Health medicare mmp professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 11 | Bcbs Il medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 12 | Humana dual medicare/medicaid professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 13 | Humana medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 14 | Molina dual medicare/medicaid professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 15 | UnitedHealthcare medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 16 | WellCare dual medicare/medicaid professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 17 | WellCare medicare advantage professional · fee schedule · both | $692 | $692 | — | — | — | $692 – $692 |
| 18 | Humana epo/hmo/pos/ppo professional · percent of total billed charges · bothfrom % of charges | $743 | $743 | — | — | — | $743 – $743 |
| 19 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 20 | Aetna medicare advantage facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 21 | Bcbs Il medicare advantage facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 22 | Humana dual medicare/medicaid facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 23 | Humana medicare advantage facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 24 | UnitedHealthcare commercial facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 25 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $809 | $809 | — | — | — | $809 – $809 |
Last updated: Feb 3, 2026
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