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
Dgtz gls mcrscp sld level v
Santa Monica, CA
See all hospitals reporting CPT 0754T →Price type
Providence Health System - Southern California’s median price of $1.2k is 1729% above the median hospital's median price ($68), higher than 93% of the 543 hospitals reporting CPT 0754T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 4 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 medicare managed care plan fee schedule · outpatient | $352.70 | $352.70 | $352.70 – $352.70 |
| 2 | Blue Cross Blue Shield tandem ppo/blue high performance ppo/epo fee schedule · outpatient | $1,179 | $1,179 | $1,179 – $1,179 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,309 | $1,309 | $1,309 – $1,309 |
| 4 | Blue Cross Blue Shield ppo/epo fee schedule · outpatient | $1,309 | $1,309 | $1,309 – $1,309 |
Last updated: Apr 1, 2026
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