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
Saint Louis, MO
See all hospitals reporting CPT 0754T →Price type
St Louis Childrens Hospital’s median price of $213 is 214% 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: 10 payers, 22 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 | Cigna bjc hb cigna local plus slc percent of total billed charges · bothfrom % of charges | $141.78 | $141.78 | $141.78 – $141.78 |
| 2 | Cigna bjc hb cigna special slc percent of total billed charges · bothfrom % of charges | $147.81 | $147.81 | $147.81 – $147.81 |
| 3 | Cigna bjc hb cigna hmo/ppo slc percent of total billed charges · bothfrom % of charges | $155.84 | $155.84 | $155.84 – $155.84 |
| 4 | Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges | $157.85 | $157.85 | $157.85 – $157.85 |
| 5 | Blue Cross Blue Shield bjc hb anthem choice slc percent of total billed charges · bothfrom % of charges | $174.78 | $174.78 | $174.78 – $174.78 |
| 6 | Blue Cross Blue Shield bjc hb anthem access slc percent of total billed charges · bothfrom % of charges | $188.27 | $188.27 | $188.27 – $188.27 |
| 7 | UnitedHealthcare bjc hb united health care slc percent of total billed charges · bothfrom % of charges | $204.63 | $204.63 | $204.63 – $204.63 |
| 8 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 9 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 10 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 11 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $213.24 | $213.24 | $213.24 – $213.24 |
| 12 | Humana bjc hb humana choicecare slc percent of total billed charges · bothfrom % of charges | $213.82 | $213.82 | $213.82 – $213.82 |
| 13 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 14 | Beechstreet bjc hb multiplan slc percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 15 | MultiPlan bjc hb multiplan slc percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 16 | Phcs bjc hb phcs slc percent of total billed charges · bothfrom % of charges | $215.25 | $215.25 | $215.25 – $215.25 |
| 17 | Aetna bjc hb aetna commercial slc percent of total billed charges · bothfrom % of charges | $226.73 | $226.73 | $226.73 – $226.73 |
| 18 | Medica bjc hb wellfirst first health slc percent of total billed charges · bothfrom % of charges | $229.60 | $229.60 | $229.60 – $229.60 |
| 19 | Phcs bjc hb wellfirst first health slc percent of total billed charges · bothfrom % of charges | $229.60 | $229.60 | $229.60 – $229.60 |
| 20 | Blue Cross Blue Shield bjc hb anthem traditional slc percent of total billed charges · bothfrom % of charges | $237.06 | $237.06 | $237.06 – $237.06 |
| 21 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $243.95 | $243.95 | $243.95 – $243.95 |
| 22 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $243.95 | $243.95 | $243.95 – $243.95 |
Last updated: Dec 15, 2025
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