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
Bronx, NY
See all hospitals reporting CPT 0754T →Price type
Montefiore Medical Center’s median price of $86 is 27% above the median hospital's median price ($68), higher than 55% 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: 1 payer, 7 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 | Anthem connection sg fee schedule · outpatient | $76.88 | $76.88 | $76.88 – $76.88 |
| 2 | Anthem sg epo/ppo fee schedule · outpatient | $81.67 | $81.67 | $81.67 – $81.67 |
| 3 | Anthem blue access fee schedule · outpatient | $86.46 | $86.46 | $86.46 – $86.46 |
| 4 | Anthem connection lg fee schedule · outpatient | $86.46 | $86.46 | $86.46 – $86.46 |
| 5 | Anthem epo ppo fee schedule · outpatient | $96.17 | $96.17 | $96.17 – $96.17 |
| 6 | Anthem hmo fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 7 | Anthem indemnity fee schedule · outpatient | $114.23 | $114.23 | $114.23 – $114.23 |
Last updated: Sep 28, 2026
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