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 Porphyrn Qnt+Frac 24h UR
O'Fallon, MO
See all hospitals reporting CPT 84120 →Price type
Progress West Hospital’s median price of $70 is 215% above the median hospital's median price ($22), higher than 83% of the 2,361 hospitals reporting CPT 84120. 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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare bjc hb united health care community fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Cigna bjc hb cigna local plus community fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Aetna bjc hb aetna commercial community fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Cigna bjc hb cigna special community fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Humana bjc hb humana choicecare community fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 9 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 10 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 11 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 12 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 13 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 14 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 16 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 17 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 19 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 21 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 22 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 23 | Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
Last updated: Dec 15, 2025
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