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
Perq p-art revsc 1 abnor bi
Gary, IN
See all hospitals reporting CPT 33903 →Price type
The Methodist Hospitals, Inc.’s median price of $18.2k is 53% above the median hospital's median price ($11.9k), higher than 84% of the 1,449 hospitals reporting CPT 33903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 2 | UnitedHealthcare navigate and core payer facility · case rate · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 3 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 6 | Humana medicare advantage facility · fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 7 | Medicare medicare facility · fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 8 | Anthem pathway essentials facility · fee schedule · outpatient | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 9 | Caresource caresource facility · fee schedule · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 10 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
| 11 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 12 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 13 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 14 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 15 | Anthem individual on exchange facility · fee schedule · outpatient | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 16 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $40.4k | $40.4k | — | — | — | $40.4k – $40.4k |
Last updated: Aug 18, 2026
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