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
BR-PLC DVC SFT TS1ST
Wayne, IN
See all hospitals reporting CPT 10035 →Price type
Dupont Hospital LLC’s median price of $749 is 27% below the median hospital's median price ($1.0k), higher than 28% of the 2,039 hospitals reporting CPT 10035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 37 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $333.34 | $333.34 | $67.83 – $598.84 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $333.34 | $333.34 | $67.83 – $598.84 |
| 3 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $374.62 | $374.62 | $76.23 – $673.00 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $374.62 | $374.62 | $76.23 – $673.00 |
| 5 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $381.84 | $381.84 | $77.70 – $685.98 |
| 6 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $381.84 | $381.84 | $77.70 – $685.98 |
| 7 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $381.84 | $381.84 | $77.70 – $685.98 |
| 8 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $381.84 | $381.84 | $77.70 – $685.98 |
| 9 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $461.31 | $461.31 | $93.87 – $828.74 |
| 10 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $461.31 | $461.31 | $93.87 – $828.74 |
| 11 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $546.96 | $546.96 | $111.30 – $982.62 |
| 12 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $546.96 | $546.96 | $111.30 – $982.62 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $663.50 | $663.50 | $663.50 – $663.50 |
| 14 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $737.22 | $737.22 | $737.22 – $737.22 |
| 15 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $737.22 | $737.22 | $737.22 – $737.22 |
| 16 | Humana node humana mcr adv facility · fee schedule · outpatient | $737.22 | $737.22 | $737.22 – $737.22 |
| 17 | Anthem anthem in hip facility · fee schedule · outpatient | $749.21 | $749.21 | $749.21 – $749.21 |
| 18 | Optum node united optum va ccn facility · per diem · outpatient | $749.21 | $749.21 | $749.21 – $749.21 |
| 19 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $751.96 | $751.96 | $751.96 – $751.96 |
| 20 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $839.86 | $839.86 | $839.86 – $839.86 |
| 21 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · inpatientfrom % of charges | $887.52 | $887.52 | $180.60 – $1,594 |
| 22 | MultiPlan multiplan ppo primary network facility · percent of total billed charges · outpatientfrom % of charges | $887.52 | $887.52 | $180.60 – $1,594 |
| 23 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $897.34 | $897.34 | $897.34 – $897.34 |
| 24 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · inpatientfrom % of charges | $928.80 | $928.80 | $189.00 – $1,669 |
| 25 | MultiPlan multiplan ppo complimentary network facility · percent of total billed charges · outpatientfrom % of charges | $928.80 | $928.80 | $189.00 – $1,669 |
Last updated: Apr 1, 2026
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