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 Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
Sandwich, IL
See all hospitals reporting CPT 0795T →Price type
Northwestern Medicine Valley West Hospital’s median price of $34.6k is 73% above the median hospital's median price ($19.9k), higher than 89% 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: 8 payers, 23 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 | $4,168 | $4,168 | $4,168 – $4,168 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $4,168 | $4,168 | $4,168 – $4,168 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $11,478 | $11,478 | $11,478 – $11,478 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $11,478 | $11,478 | $11,478 – $11,478 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $15,345 | $15,345 | $15,345 – $15,345 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $21,023 | $21,023 | $21,023 – $21,023 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $27,367 | $27,367 | $27,367 – $27,367 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $29,179 | $29,179 | $29,179 – $29,179 |
| 9 | UnitedHealthcare vwh uhc core percent of total billed charges · outpatientfrom % of charges | $30,327 | $30,327 | $30,327 – $30,327 |
| 10 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $33,770 | $33,770 | $33,770 – $33,770 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $34,556 | $34,556 | $34,556 – $34,556 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $34,858 | $34,858 | $34,858 – $34,858 |
| 13 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $34,858 | $34,858 | $34,858 – $34,858 |
| 14 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $39,358 | $39,358 | $39,358 – $39,358 |
| 15 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $39,509 | $39,509 | $39,509 – $39,509 |
| 16 | UnitedHealthcare vwh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $40,416 | $40,416 | $40,416 – $40,416 |
| 17 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $41,866 | $41,866 | $41,866 – $41,866 |
| 18 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $46,336 | $46,336 | $46,336 – $46,336 |
| 19 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $48,330 | $48,330 | $48,330 – $48,330 |
| 20 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $52,861 | $52,861 | $52,861 – $52,861 |
| 21 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $60,412 | $60,412 | $60,412 – $60,412 |
| 22 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $60,412 | $60,412 | $60,412 – $60,412 |
| 23 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $60,412 | $60,412 | $60,412 – $60,412 |
Last updated: Apr 1, 2026
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