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 Sld Spc Stn Gr2
White Plains, NY
See all hospitals reporting CPT 0757T →Price type
Hospital for Special Surgery’s median price of $117 is 270% above the median hospital's median price ($32), higher than 80% of the 536 hospitals reporting CPT 0757T. 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, 60 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 | Blue Cross Blue Shield bcbs connection [102217] percent of total billed charges · bothfrom % of charges | $54.04 | $54.04 | $54.04 – $54.04 |
| 2 | Blue Cross Blue Shield bcbs blue access [102216] percent of total billed charges · bothfrom % of charges | $78.12 | $78.12 | $78.12 – $78.12 |
| 3 | Blue Cross Blue Shield bcbs epo [102204] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 4 | Blue Cross Blue Shield bcbs federal [102202] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 5 | Blue Cross Blue Shield bcbs hmo [102207] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 6 | Blue Cross Blue Shield bcbs indemnity [102203] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 7 | Blue Cross Blue Shield bcbs ny empire [102201] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 8 | Blue Cross Blue Shield bcbs nyc healthline [102208] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 9 | Blue Cross Blue Shield bcbs nyship empire plan [102209] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 10 | Blue Cross Blue Shield bcbs pos [102206] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 11 | Blue Cross Blue Shield bcbs ppo [102205] percent of total billed charges · bothfrom % of charges | $81.37 | $81.37 | $81.37 – $81.37 |
| 12 | Blue Cross Blue Shield bcbs nj [102301] percent of total billed charges · bothfrom % of charges | $93.22 | $93.22 | $93.22 – $93.22 |
| 13 | Cigna cigna [103500] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 14 | Cigna cigna epo [103502] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 15 | Cigna cigna great west [103506] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 16 | Cigna cigna hmo [103503] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 17 | Cigna cigna indemnity [103505] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 18 | Cigna cigna ppo [103504] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 19 | Cigna daniel h cook - cigna [133900] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 20 | Cigna local 831 [103508] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 21 | Cigna luminare - cigna [136200] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 22 | Cigna trustmark - cigna [134300] percent of total billed charges · bothfrom % of charges | $95.56 | $95.56 | $95.56 – $95.56 |
| 23 | Cigna allied benefit system - cigna network [133700] percent of total billed charges · bothfrom % of charges | $106.18 | $106.18 | $106.18 – $106.18 |
| 24 | Cigna cigna international [103507] percent of total billed charges · bothfrom % of charges | $106.18 | $106.18 | $106.18 – $106.18 |
| 25 | Blue Cross Blue Shield emblem bcbs composite [901202] percent of total billed charges · bothfrom % of charges | $107.44 | $107.44 | $107.44 – $107.44 |
Last updated: Apr 1, 2026
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