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 VI
Binghamton, NY
See all hospitals reporting CPT 0755T →Price type
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES’s median price of $502 is 607% above the median hospital's median price ($71), higher than 72% of the 545 hospitals reporting CPT 0755T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 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 | UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges | $354.66 | $354.66 | $354.66 – $354.66 |
| 2 | Aetna medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 3 | Blue Cross Blue Shield excellus facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 4 | Blue Cross Blue Shield highmark facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 5 | Blue Cross Blue Shield highmark ppo facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 6 | Blue Cross Blue Shield managed medicaid facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 7 | Blue Cross Blue Shield medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 8 | Humana medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 9 | Tricare medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 10 | UnitedHealthcare managed medicaid facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 11 | UnitedHealthcare medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 12 | WellCare fidelis medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 13 | WellCare managed medicaid facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 14 | WellCare medicare advantage facility · other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
Last updated: Mar 31, 2026
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