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
Dgtz gls mcrscp sl spc hchem
Williamsburg, VA
See all hospitals reporting CPT 0758T →Price type
Doctors’ Hospital of Williamsburg’s median price of $217 is 280% above the median hospital's median price ($57), higher than 77% of the 508 hospitals reporting CPT 0758T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 4 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 managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 2 | Anthem managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 3 | UnitedHealthcare managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 4 | Humana managed medicaid fee schedule · outpatient | $227.61 | $227.61 | $227.61 – $227.61 |
Last updated: Jan 2, 2026
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