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
PR TCAT INS 2CHMBR LDLS PM CMPL
Sparta, WI
See all hospitals reporting CPT 0795T →Price type
Mayo Clinic Health System’s median price of $3.4k is 83% below the median hospital's median price ($19.9k), higher than 3% of the 1,503 hospitals reporting CPT 0795T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 69 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 | Medica medica advantage solution [791] professional · percent of total billed charges · outpatientfrom % of charges | $445.88 | $445.88 | $445.88 – $445.88 |
| 2 | Tricare swwi tricare [689] professional · percent of total billed charges · outpatientfrom % of charges | $445.88 | $445.88 | $445.88 – $445.88 |
| 3 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · percent of total billed charges · outpatientfrom % of charges | $624.23 | $624.23 | $624.23 – $624.23 |
| 4 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $1,159 | $1,159 | $1,159 – $1,159 |
| 5 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,284 | $1,284 | $1,284 – $1,284 |
| 6 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $1,427 | $1,427 | $1,427 – $1,427 |
| 7 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,516 – $1,516 |
| 8 | Blue Cross Blue Shield swwi anthem hmo and pos [59] professional · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,516 – $1,516 |
| 9 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,516 – $1,516 |
| 10 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $1,605 | $1,605 | $1,605 – $1,605 |
| 11 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,605 | $1,605 | $1,605 – $1,605 |
| 12 | UnitedHealthcare swwi uhc [243] professional · percent of total billed charges · outpatientfrom % of charges | $1,641 | $1,641 | $1,641 – $1,641 |
| 13 | Anthem swwi anthem ppo [19] professional · percent of total billed charges · outpatientfrom % of charges | $1,659 | $1,659 | $1,659 – $1,659 |
| 14 | Blue Cross Blue Shield swwi anthem ppo [19] professional · percent of total billed charges · outpatientfrom % of charges | $1,659 | $1,659 | $1,659 – $1,659 |
| 15 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $1,676 | $1,676 | $1,676 – $1,676 |
| 16 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,676 | $1,676 | $1,676 – $1,676 |
| 17 | Medica multi medica ifb [1076] professional · percent of total billed charges · outpatientfrom % of charges | $1,676 | $1,676 | $1,676 – $1,676 |
| 18 | Cigna cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 19 | Healthpartners cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 20 | Humana cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 21 | Medcost cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 22 | Medical Mutual cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 23 | Oscar cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 24 | Sanford Health Plan phcs healtheos [310] professional · percent of total billed charges · outpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 25 | Aetna multi aetna [1295] professional · percent of total billed charges · outpatientfrom % of charges | $1,703 | $1,703 | $1,703 – $1,703 |
Last updated: Aug 14, 2026
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