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
Pdt dstr prmlg les phys/qhp
Elmhurst, IL
See all hospitals reporting CPT 96573 →Price type
Elmhurst Memorial Hospital’s median price of $706 is 202% above the median hospital's median price ($234), higher than 85% of the 1,398 hospitals reporting CPT 96573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 managed care plan fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 2 | Blue Cross Blue Shield choice other commercial plan fee schedule · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 4 | UnitedHealthcare core/navigate other commercial plan fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | UnitedHealthcare all commercial plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Apr 1, 2026
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