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 Sl Spc Hchem
Towanda, PA
See all hospitals reporting CPT 0758T →Price type
ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS’s median price of $127 is 123% above the median hospital's median price ($57), higher than 66% of the 508 hospitals reporting CPT 0758T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 20 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 blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $19.15 | $19.15 | $19.15 – $19.15 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $19.15 | $19.15 | $19.15 – $19.15 |
| 3 | Cigna behavioral facility · percent of total billed charges · outpatientfrom % of charges | $70.65 | $70.65 | $70.65 – $70.65 |
| 4 | UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges | $88.90 | $88.90 | $88.90 – $88.90 |
| 5 | UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges | $88.90 | $88.90 | $88.90 – $88.90 |
| 6 | Aetna medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 7 | Blue Cross Blue Shield excellus facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 8 | Blue Cross Blue Shield first priority facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 9 | Blue Cross Blue Shield highmark facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 10 | Blue Cross Blue Shield highmark indemnity facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 11 | Blue Cross Blue Shield highmark ppo facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 12 | Blue Cross Blue Shield highmark wholecare medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 13 | Blue Cross Blue Shield managed medicaid facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 14 | Humana medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 15 | Tricare martin point facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 16 | Tricare medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 17 | UnitedHealthcare managed medicaid facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 18 | UnitedHealthcare medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 19 | WellCare fidelis medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 20 | WellCare medicare advantage facility · other · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
Last updated: Mar 31, 2026
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