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 VI
Smithville, TN
See all hospitals reporting CPT 0755T →Price type
Saint Thomas Regional Hospitals’s median price of $50 is 30% below the median hospital's median price ($71), higher than 33% of the 545 hospitals reporting CPT 0755T. 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, 11 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 3166_uhc sttn exchange 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 2 | UnitedHealthcare 3167_rptn uhc exchange 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 3 | UnitedHealthcare 3168_rhtn uhc exchange 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 4 | UnitedHealthcare 3169_sdtn uhc compass 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 5 | UnitedHealthcare 3170_thtn uhc compass 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 6 | UnitedHealthcare 3171_mttn uhc 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 7 | UnitedHealthcare 3172_rptn uhc 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 8 | UnitedHealthcare 3173_rhtn uhc 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 9 | UnitedHealthcare 3174_sdtn uhc 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 10 | UnitedHealthcare 3175_thtn uhc 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 11 | UnitedHealthcare 3176_uhc (sttn) 20250715 fee schedule · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
Last updated: Jan 1, 2026
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