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
HB Ref Precivityad2 (Mayo-Z)
Sandwich, IL
See all hospitals reporting CPT 0503U →Price type
Northwestern Medicine Valley West Hospital’s median price of $1.8k is 139% above the median hospital's median price ($773), higher than 93% of the 1,331 hospitals reporting CPT 0503U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $211.14 | $211.14 | $211.14 – $211.14 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $211.14 | $211.14 | $211.14 – $211.14 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $581.40 | $581.40 | $581.40 – $581.40 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $581.40 | $581.40 | $581.40 – $581.40 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $777.24 | $777.24 | $777.24 – $777.24 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $1,065 | $1,065 | $1,065 – $1,065 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $1,386 | $1,386 | $1,386 – $1,386 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $1,478 | $1,478 | $1,478 – $1,478 |
| 9 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $1,711 | $1,711 | $1,711 – $1,711 |
| 10 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $1,848 | $1,848 | $1,848 – $1,848 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $1,848 | $1,848 | $1,848 – $1,848 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $1,928 | $1,928 | $1,928 – $1,928 |
| 13 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $1,994 | $1,994 | $1,994 – $1,994 |
| 14 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $2,001 | $2,001 | $2,001 – $2,001 |
| 15 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $2,121 | $2,121 | $2,121 – $2,121 |
| 16 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $2,448 | $2,448 | $2,448 – $2,448 |
| 17 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $2,500 | $2,500 | $2,500 – $2,500 |
| 18 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $2,678 | $2,678 | $2,678 – $2,678 |
| 19 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $3,060 | $3,060 | $3,060 – $3,060 |
| 20 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $3,060 | $3,060 | $3,060 – $3,060 |
| 21 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $3,060 | $3,060 | $3,060 – $3,060 |
Last updated: Apr 1, 2026
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