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
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
Girardeau, MO
See all hospitals reporting CPT 0795T →Price type
Southeast Hospital dba Mercy Hospital Southeast’s median price of $31.8k is 60% above the median hospital's median price ($19.9k), higher than 87% of the 1,503 hospitals reporting CPT 0795T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 32 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 hb stlo cape aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $4,163 | $4,163 | $4,163 – $4,163 |
| 2 | Molina hb stlo cape molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $4,163 | $4,163 | $4,163 – $4,163 |
| 3 | Medicaid hb stlo cape il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $9,608 | $9,608 | $9,608 – $9,608 |
| 4 | Blue Cross Blue Shield hb cape anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $11,593 | $11,593 | $11,593 – $11,593 |
| 5 | Cigna hb cape cigna commercial facility · case rate · outpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 6 | Aetna hb cape aetna medicare 100% facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 7 | Blue Cross Blue Shield hb cape medicare and 100% managed medicare facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 8 | Humana hb cape humana medicare ip 97% op 100% w/seq facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 9 | Medica hb cape medicare and 100% managed medicare facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 10 | Medicare hb cape medicare and 100% managed medicare facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 11 | Tricare hb cape tricare facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 12 | UnitedHealthcare hb cape uhc medicare advantage 100% facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 13 | WellCare hb cape home state medicare advantage 100% w/seq facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 14 | WellCare hb cape medicare and 100% managed medicare facility · other · outpatient | $18,926 | $18,926 | $18,926 – $18,926 |
| 15 | Devoted hb cape devoted health medicare advantage 104% w/seq facility · other · outpatient | $19,683 | $19,683 | $19,683 – $19,683 |
| 16 | WellCare hb cape wellcare ky 105% medicare w/seq facility · other · outpatient | $19,891 | $19,891 | $19,891 – $19,891 |
| 17 | Ambetter hb cape home state ambetter exchange bh & 130% mcr facility · other · outpatient | $24,488 | $24,488 | $24,488 – $24,488 |
| 18 | UnitedHealthcare hb cape dec rates ip 150% op 150% default 70% facility · other · outpatient | $28,389 | $28,389 | $28,389 – $28,389 |
| 19 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $30,424 | $30,424 | $30,424 – $30,424 |
| 20 | Aetna hb cape aetna commercial / first health facility · percent of total billed charges · outpatientfrom % of charges | $34,715 | $34,715 | $34,715 – $34,715 |
| 21 | First Health hb cape aetna commercial / first health facility · percent of total billed charges · outpatientfrom % of charges | $34,715 | $34,715 | $34,715 – $34,715 |
| 22 | UnitedHealthcare hb cape uhc exchange facility · other · outpatient | $46,303 | $46,303 | $46,303 – $46,303 |
| 23 | MultiPlan hb cape multiplan/phcs facility · percent of total billed charges · outpatientfrom % of charges | $51,240 | $51,240 | $51,240 – $51,240 |
| 24 | Humana hb cape humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $54,443 | $54,443 | $54,443 – $54,443 |
| 25 | Blue Cross Blue Shield hb cape anthem trad facility · percent of total billed charges · outpatientfrom % of charges | $60,848 | $60,848 | $60,848 – $60,848 |
Last updated: Jun 11, 2026
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