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
HC Aortog Abd+Bil Low Extrm
O'Fallon, MO
See all hospitals reporting CPT 75630 →Price type
Progress West Hospital’s median price of $3.2k is 3% below the median hospital's median price ($3.2k), higher than 45% of the 2,147 hospitals reporting CPT 75630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 29 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 bjc hb anthem choice community fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Blue Cross Blue Shield bjc hb anthem access community fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Cigna bjc hb cigna local plus community fee schedule · both | $198 | $198 | — | — | — | $198 – $198 |
| 4 | Cigna bjc hb cigna special community fee schedule · both | $218 | $218 | — | — | — | $218 – $218 |
| 5 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $220 | $220 | — | — | — | $220 – $220 |
| 6 | UnitedHealthcare bjc hb united health care community per diem · both | $296 | $296 | — | — | — | $296 – $296 |
| 7 | Humana bjc hb humana choicecare community fee schedule · both | $344 | $344 | — | — | — | $344 – $344 |
| 8 | Aetna bjc hb aetna commercial community fee schedule · both | $357 | $357 | — | — | — | $357 – $357 |
| 9 | Aetna bjc hb medicare advantra pwc other · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 10 | Aetna bjc hb medicare gold advantage pwc other · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 11 | Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Humana bjc hb medicare humana pwc other · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 13 | UnitedHealthcare bjc hb medicare uhc pwc other · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Devoted bjc hb medicare devoted pwc other · both | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 15 | Medica bjc hb medicare wellfirst pwc other · both | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 16 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 25 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Dec 15, 2025
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