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
Sullivan, MO
See all hospitals reporting CPT 0754T →Price type
Missouri Baptist Sullivan Hospital’s median price of $197 is 190% above the median hospital's median price ($68), higher than 67% 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: 11 payers, 28 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 bjc hb medicare advantra mhs percent of total billed charges · bothfrom % of charges | $66.66 | $66.66 | $66.66 – $66.66 |
| 2 | Aetna bjc hb medicare gold advantage mhs percent of total billed charges · bothfrom % of charges | $66.66 | $66.66 | $66.66 – $66.66 |
| 3 | Humana bjc hb medicare humana mhs percent of total billed charges · bothfrom % of charges | $67.27 | $67.27 | $67.27 – $67.27 |
| 4 | UnitedHealthcare bjc hb medicare uhc mhs percent of total billed charges · bothfrom % of charges | $67.87 | $67.87 | $67.87 – $67.87 |
| 5 | Blue Cross Blue Shield bjc hb medicare anthem advantage mhs percent of total billed charges · bothfrom % of charges | $70.66 | $70.66 | $70.66 – $70.66 |
| 6 | Medica bjc hb medicare wellfirst mhs percent of total billed charges · bothfrom % of charges | $71.33 | $71.33 | $71.33 – $71.33 |
| 7 | Devoted bjc hb medicare devoted mhs percent of total billed charges · bothfrom % of charges | $73.17 | $73.17 | $73.17 – $73.17 |
| 8 | Aetna bjc hb aetna carelink ifp rural percent of total billed charges · bothfrom % of charges | $138.17 | $138.17 | $138.17 – $138.17 |
| 9 | Cigna bjc hb cigna local plus rural percent of total billed charges · bothfrom % of charges | $184.53 | $184.53 | $184.53 – $184.53 |
| 10 | Blue Cross Blue Shield bjc hb anthem preferred mhs percent of total billed charges · bothfrom % of charges | $186.95 | $186.95 | $186.95 – $186.95 |
| 11 | Cigna bjc hb cigna special rural percent of total billed charges · bothfrom % of charges | $188.47 | $188.47 | $188.47 – $188.47 |
| 12 | Blue Cross Blue Shield bjc hb anthem choice rural percent of total billed charges · bothfrom % of charges | $197.86 | $197.86 | $197.86 – $197.86 |
| 13 | Blue Cross Blue Shield bjc hb anthem access rural percent of total billed charges · bothfrom % of charges | $200.28 | $200.28 | $200.28 – $200.28 |
| 14 | Humana bjc hb humana choicecare rural percent of total billed charges · bothfrom % of charges | $201.50 | $201.50 | $201.50 – $201.50 |
| 15 | Cigna bjc hb cigna hmo/ppo rural percent of total billed charges · bothfrom % of charges | $208.16 | $208.16 | $208.16 – $208.16 |
| 16 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $225.13 | $225.13 | $225.13 – $225.13 |
| 17 | Aetna bjc hb first health rural percent of total billed charges · bothfrom % of charges | $225.13 | $225.13 | $225.13 – $225.13 |
| 18 | First Health bjc hb first health rural percent of total billed charges · bothfrom % of charges | $225.13 | $225.13 | $225.13 – $225.13 |
| 19 | UnitedHealthcare bjc hb first health rural percent of total billed charges · bothfrom % of charges | $225.13 | $225.13 | $225.13 – $225.13 |
| 20 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $227.25 | $227.25 | $227.25 – $227.25 |
| 21 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $227.25 | $227.25 | $227.25 – $227.25 |
| 22 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $227.25 | $227.25 | $227.25 – $227.25 |
| 23 | Phcs bjc hb phcs rural percent of total billed charges · bothfrom % of charges | $227.25 | $227.25 | $227.25 – $227.25 |
| 24 | Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges | $242.40 | $242.40 | $242.40 – $242.40 |
| 25 | Medica bjc hb wellfirst first health rural percent of total billed charges · bothfrom % of charges | $242.40 | $242.40 | $242.40 – $242.40 |
Last updated: Dec 15, 2025
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