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 Rpr F/E/E/N/L/M 2.5 Cm/<
Palos Heights, IL
See all hospitals reporting CPT 12011 →Price type
Palos Community Hospital’s median price of $1.8k is 566% above the median hospital's median price ($272), higher than 93% of the 2,366 hospitals reporting CPT 12011. 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, 25 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 ph uhc core case rate · outpatient | $692.00 | $692.00 | $692.00 – $692.00 |
| 2 | UnitedHealthcare ph uhc all other case rate · outpatient | $770.00 | $770.00 | $770.00 – $770.00 |
| 3 | Cigna ph cigna alternative percent of total billed charges · outpatientfrom % of charges | $1,048 | $1,048 | $137.45 – $1,958 |
| 4 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $1,205 | $1,205 | $158.03 – $2,251 |
| 5 | Blue Cross Blue Shield ph medicare other · outpatient | $1,309 | $1,309 | $1,309 – $1,309 |
| 6 | Cigna ph cigna broad percent of total billed charges · outpatientfrom % of charges | $1,658 | $1,658 | $217.56 – $3,099 |
| 7 | Blue Cross Blue Shield ph bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $1,812 | $1,812 | $1,812 – $1,812 |
| 8 | Blue Cross Blue Shield ph bcbs bluechoice options select percent of total billed charges · outpatientfrom % of charges | $1,812 | $1,812 | $1,812 – $1,812 |
| 9 | Blue Cross Blue Shield ph bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $1,812 | $1,812 | $1,812 – $1,812 |
| 10 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $1,900 | $1,900 | $249.17 – $3,550 |
| 11 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $2,193 | $2,193 | $287.61 – $4,098 |
| 12 | Aetna ph aetna percent of total billed charges · outpatientfrom % of charges | $2,418 | $2,418 | $417.48 – $4,419 |
| 13 | First Health ph aetna percent of total billed charges · outpatientfrom % of charges | $2,418 | $2,418 | $417.48 – $4,419 |
| 14 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $3,362 | $3,362 | $441.00 – $6,283 |
| 15 | Blue Cross Blue Shield ph bcbs ppo percent of total billed charges · outpatientfrom % of charges | $3,372 | $3,372 | $3,372 – $3,372 |
| 16 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $3,922 | $3,922 | $514.50 – $7,330 |
| 17 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $4,202 | $4,202 | $551.25 – $7,854 |
| 18 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $4,483 | $4,483 | $588.00 – $8,377 |
| 19 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $4,483 | $4,483 | $588.00 – $8,377 |
| 20 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
| 21 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
| 22 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
| 23 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
| 24 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
| 25 | UnitedHealthcare ph uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $5,603 | $5,603 | $735.00 – $10,472 |
Last updated: Apr 1, 2026
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