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
Tj Ire Prst8 1+ Tum Perq
Peoria, IL
See all hospitals reporting CPT 55877 →Price type
Proctor Community Hospital’s median price of $17.1k is 50% above the median hospital's median price ($11.4k), higher than 91% of the 749 hospitals reporting CPT 55877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Aetna medicare advantage case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 3 | Humana medicare advantage case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 5 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 6 | UnitedHealthcare medicare advantage case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 7 | UnitedHealthcare va ccn case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 9 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 10 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 11 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 13 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 14 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $22.2k | $22.2k | — | — | — | $22.2k – $22.2k |
| 15 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $22.2k | $22.2k | — | — | — | $22.2k – $22.2k |
| 16 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $22.5k | $22.5k | — | — | — | $22.5k – $22.5k |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $27.5k | $27.5k | — | — | — | $27.5k – $27.5k |
| 18 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
| 19 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $28.5k | $28.5k | — | — | — | $28.5k – $28.5k |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $28.5k | $28.5k | — | — | — | $28.5k – $28.5k |
| 21 | UnitedHealthcare ppo case rate · outpatient | $34.2k | $34.2k | — | — | — | $34.2k – $34.2k |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $38.2k | $38.2k | — | — | — | $38.2k – $38.2k |
Last updated: Apr 15, 2026
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