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
HC ASP FINE NDL W/O IMAGING GUIDE
O'Fallon, IL
See all hospitals reporting CPT 10021 →Price type
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis’s median price of $1.1k is 134% above the median hospital's median price ($463), higher than 86% of the 2,193 hospitals reporting CPT 10021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 aetna medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 2 | Bcbs Il bcbs il medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 3 | Bcbs Il bcbs il mmai fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 4 | Bcbs Il blue cross blue shield of illinois medicare adv fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 5 | Humana humana medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 6 | UnitedHealthcare united health care medicare fee schedule · both | $432.94 | $432.94 | $432.94 – $432.94 |
| 7 | Molina molina medicare fee schedule · both | $454.59 | $454.59 | $454.59 – $454.59 |
| 8 | Molina molina medicaid fee schedule · both | $621.45 | $621.45 | $621.45 – $621.45 |
| 9 | Cigna all commercial cigna percent of total billed charges · bothfrom % of charges | $1,077 | $1,077 | $1,077 – $1,077 |
| 10 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $1,254 | $1,254 | $1,254 – $1,254 |
| 11 | UnitedHealthcare all commercial united healthcare case rate · both | $1,500 | $1,500 | $1,500 – $1,500 |
| 12 | UnitedHealthcare united healthcare behavioral health case rate · both | $1,500 | $1,500 | $1,500 – $1,500 |
| 13 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $1,664 | $1,664 | $1,664 – $1,664 |
| 14 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $1,792 | $1,792 | $1,792 – $1,792 |
| 15 | Aetna all commercial aetna case rate · both | $2,240 | $2,240 | $2,240 – $2,240 |
| 16 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $2,240 | $2,240 | $2,240 – $2,240 |
Last updated: Mar 24, 2026
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