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
Gloucester, VA
See all hospitals reporting CPT 0754T →Price type
Riverside Middle Peninsula Hospital, Inc’s median price of $217 is 219% above the median hospital's median price ($68), higher than 68% 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: 4 payers, 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 | Aetna managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 2 | Anthem managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 3 | UnitedHealthcare managed medicaid fee schedule · outpatient | $216.77 | $216.77 | $216.77 – $216.77 |
| 4 | Humana managed medicaid fee schedule · outpatient | $227.61 | $227.61 | $227.61 – $227.61 |
Last updated: Jan 2, 2026
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