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
HC DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH
CITY, MT
See all hospitals reporting CPT 0754T →Price type
Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital’s median price of $0 is 100% below the median hospital's median price ($68), higher than 0% of the 543 hospitals reporting CPT 0754T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 40 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 aetna hmo/epo facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Aetna aetna hmo/epo facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Aetna aetna pos/qpos facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Aetna aetna pos/qpos facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Anthem bcbs mt - federal facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Anthem bcbs mt - federal facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Anthem bcbs mt pos facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 10 | Anthem bcbs mt pos facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 11 | Anthem bcbs mt pos exchange facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 12 | Anthem bcbs mt pos exchange facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 13 | Anthem bcbs mt traditional facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 14 | Anthem bcbs mt traditional facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 15 | Anthem bcbs mt traditional exchange facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 16 | Anthem bcbs mt traditional exchange facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 17 | Cigna cigna other facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 18 | Cigna cigna other facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 19 | Cigna cigna pos/qpos facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 20 | Cigna cigna pos/qpos facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 21 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 22 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 23 | Cigna eighth dist elect ben pln facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 24 | Cigna eighth dist elect ben pln facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
| 25 | MultiPlan multiplan inc other facility · percent of total billed charges · inpatientfrom % of charges | $0.01 | $0.01 | $0.01 – $0.01 |
Last updated: Mar 22, 2026
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