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 Level V
Belleville, IL
See all hospitals reporting CPT 0754T →Price type
Memorial Hospital’s median price of $190 is 179% above the median hospital's median price ($68), higher than 66% 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: 10 payers, 20 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 | Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges | $150.96 | $150.96 | $150.96 – $150.96 |
| 2 | Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges | $152.68 | $152.68 | $152.68 – $152.68 |
| 3 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $159.57 | $159.57 | $159.57 – $159.57 |
| 4 | Aetna bjc hb aetna commercial community percent of total billed charges · bothfrom % of charges | $162.73 | $162.73 | $162.73 – $162.73 |
| 5 | Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges | $163.88 | $163.88 | $163.88 – $163.88 |
| 6 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $187.41 | $187.41 | $187.41 – $187.41 |
| 7 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $189.71 | $189.71 | $189.71 – $189.71 |
| 8 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 9 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 10 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 11 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 12 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 13 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 14 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 15 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 16 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $229.60 | $229.60 | $229.60 – $229.60 |
| 17 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $229.60 | $229.60 | $229.60 – $229.60 |
| 18 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $243.95 | $243.95 | $243.95 – $243.95 |
| 19 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $243.95 | $243.95 | $243.95 – $243.95 |
| 20 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $249.69 | $249.69 | $249.69 – $249.69 |
Last updated: Dec 15, 2025
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