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 Lipoprt Part Qnt+Sbclass
O'Fallon, MO
See all hospitals reporting CPT 83704 →Price type
Progress West Hospital’s median price of $105 is 134% above the median hospital's median price ($45), higher than 83% of the 2,232 hospitals reporting CPT 83704. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 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 bjc hb medicare uhc pwc fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 2 | UnitedHealthcare bjc hb united health care community fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Cigna bjc hb cigna local plus community fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Aetna bjc hb aetna commercial community fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Cigna bjc hb cigna special community fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Humana bjc hb humana choicecare community fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 9 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 11 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 12 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 13 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 14 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 16 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 17 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 18 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 19 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 20 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 21 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 22 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 23 | Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
Last updated: Dec 15, 2025
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