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
Symes type poster opening so
Peoria, IL
See all hospitals reporting HCPCS L5634 →Price type
Proctor Community Hospital’s median price of $415 is about the same as the median hospital's median price ($415), higher than 50% of the 835 hospitals reporting HCPCS L5634. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $223 | $223 | — | — | — | $223 – $223 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 3 | Aetna medicare advantage case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 5 | Humana medicare advantage case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 7 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 8 | UnitedHealthcare medicare advantage case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 9 | UnitedHealthcare va ccn case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 11 | UnitedHealthcare ppo fee schedule · outpatient | $476 | $476 | — | — | — | $476 – $476 |
Last updated: Apr 15, 2026
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