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
Non-Surgical Cases
Rock Island, IL
See all hospitals reporting CPT 0004A →Price type
Trinity Medical Center’s median price of $119 is 147% above the median hospital's median price ($48), higher than 90% of the 470 hospitals reporting CPT 0004A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 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 | Wellmark hmo fee schedule · both | $40.00 | $40.00 | $40.00 – $40.00 |
| 2 | Blue Cross Blue Shield pos case rate · outpatient | $118.80 | $118.80 | $118.80 – $118.80 |
| 3 | Blue Cross Blue Shield ppo case rate · outpatient | $118.80 | $118.80 | $118.80 – $118.80 |
| 4 | Wellmark commercial case rate · outpatient | $118.80 | $118.80 | $118.80 – $118.80 |
Last updated: Jan 28, 2026
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