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
EPHYS EVAL CCM-D LD 1ST IMPL
Kankakee, IL
See all hospitals reporting CPT 0930T →Price type
St. Mary's Hospital - Kankakee’s median price of $1.3k is 15% below the median hospital's median price ($1.6k), higher than 39% of the 1,090 hospitals reporting CPT 0930T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 25 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 commercial case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Blue Cross Blue Shield bcbs medicare dual eligible fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Aetna aetna medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | Blue Cross Blue Shield bcbs medicare hmo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Blue Cross Blue Shield bcbs medicare ppo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Cigna cigna healthspring medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Devoted devoted health medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Humana humana medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Tricare tricare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | UnitedHealthcare uhc medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | UnitedHealthcare uhc va fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | WellCare celtic wellcare complete (wellcare) medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Molina molina medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Aetna Better Health aetna better health dual eligible fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Humana humana medi-medi fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | UnitedHealthcare uhc exchange fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Blue Cross Blue Shield bcbs ill my blue plus pos fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Blue Cross Blue Shield bcbs smart healt care fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Molina molina exchange fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Ambetter celtic insurance company (ambetter) exchange fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | UnitedHealthcare uhc commercial fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Aetna Better Health aetna better health medicaid fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 23 | Blue Cross Blue Shield bcbs medicaid fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 24 | Humana humana medicaid fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 25 | Molina molina medicaid fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: Sep 1, 2026
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