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
Xcapsl ctrc rmvl w/o ecp
Des Plaines, IL
See all hospitals reporting CPT 66984 →Price type
Holy Family Medical Center’s median price of $2.5k is 11% below the median hospital's median price ($2.8k), higher than 42% of the 1,862 hospitals reporting CPT 66984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 26 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 aetna better health medicaid fee schedule · outpatient | $1,480 | $1,480 | $1,480 – $1,480 |
| 2 | Blue Cross Blue Shield bcbs medicaid fee schedule · outpatient | $1,480 | $1,480 | $1,480 – $1,480 |
| 3 | Humana humana medicaid fee schedule · outpatient | $1,480 | $1,480 | $1,480 – $1,480 |
| 4 | Molina molina medicaid fee schedule · outpatient | $1,554 | $1,554 | $1,554 – $1,554 |
| 5 | Aetna aetna commercial case rate · outpatient | $1,637 | $1,637 | $1,637 – $1,637 |
| 6 | Blue Cross Blue Shield bcbs dual eligible fee schedule · outpatient | $2,338 | $2,338 | $2,338 – $2,338 |
| 7 | Aetna aetna medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 8 | Blue Cross Blue Shield bcbs medicare hmo fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 9 | Blue Cross Blue Shield bcbs medicare ppo fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 10 | Cigna Healthspring cigna healthspring medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 11 | Devoted devoted health medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 12 | Humana humana medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 13 | Tricare tricare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 14 | UnitedHealthcare uhc medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 15 | UnitedHealthcare uhc va fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 16 | WellCare celtic wellcare complete (wellcare) medicare fee schedule · outpatient | $2,461 | $2,461 | $2,461 – $2,461 |
| 17 | Molina molina medicare fee schedule · outpatient | $2,535 | $2,535 | $2,535 – $2,535 |
| 18 | Molina molina medicare (mapd) ma-snp fide-snp medi medi fee schedule · outpatient | $2,535 | $2,535 | $2,535 – $2,535 |
| 19 | Aetna Better Health aetna better health dual eligible fee schedule · outpatient | $2,584 | $2,584 | $2,584 – $2,584 |
| 20 | Humana humana medi-medi fee schedule · outpatient | $2,707 | $2,707 | $2,707 – $2,707 |
| 21 | UnitedHealthcare uhc exchange fee schedule · outpatient | $3,076 | $3,076 | $3,076 – $3,076 |
| 22 | Blue Cross Blue Shield bcbs my blue plus pos fee schedule · outpatient | $3,322 | $3,322 | $3,322 – $3,322 |
| 23 | Blue Cross Blue Shield bcbs smart health care fee schedule · outpatient | $3,445 | $3,445 | $3,445 – $3,445 |
| 24 | Molina molina exchange fee schedule · outpatient | $3,691 | $3,691 | $3,691 – $3,691 |
| 25 | Ambetter celtic insurance company (ambetter) exchange fee schedule · outpatient | $3,987 | $3,987 | $3,987 – $3,987 |
Last updated: Sep 1, 2026
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