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 Allomend 73583032 4 Cm X 8 Cm
O'Fallon, MO
See all hospitals reporting HCPCS Q4128 →Price type
Progress West Hospital’s median price of $74 is 44% below the median hospital's median price ($133), higher than 29% of the 1,531 hospitals reporting HCPCS Q4128. 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, 27 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 | Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 7 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 9 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 10 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 11 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 12 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 13 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 15 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 17 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 18 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 21 | Aetna bjc hb medicare advantra pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Aetna bjc hb medicare gold advantage pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 23 | Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 24 | Humana bjc hb medicare humana pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 25 | UnitedHealthcare bjc hb medicare uhc pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
Last updated: Dec 15, 2025
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