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 DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH
Cleveland, OH
See all hospitals reporting CPT 0754T →Price type
University Hospitals Health System’s median price of $81 is 19% above the median hospital's median price ($68), higher than 54% 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: 9 payers, 40 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 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $41.75 | $41.75 | $41.75 – $41.75 |
| 2 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $65.88 | $65.88 | $65.88 – $65.88 |
| 3 | Anthem tiered/pathway commercial facility · percent of total billed charges · outpatientfrom % of charges | $66.00 | $66.00 | $66.00 – $66.00 |
| 4 | Caresource marketplace facility · percent of total billed charges · inpatientfrom % of charges | $67.50 | $67.50 | $67.50 – $67.50 |
| 5 | Caresource marketplace facility · percent of total billed charges · outpatientfrom % of charges | $67.50 | $67.50 | $67.50 – $67.50 |
| 6 | Ambetter commercial facility · percent of total billed charges · inpatientfrom % of charges | $70.00 | $70.00 | $70.00 – $70.00 |
| 7 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $70.00 | $70.00 | $70.00 – $70.00 |
| 8 | Anthem tiered/pathway commercial facility · percent of total billed charges · inpatientfrom % of charges | $72.50 | $72.50 | $72.50 – $72.50 |
| 9 | Anthem blue access commercial facility · percent of total billed charges · outpatientfrom % of charges | $73.88 | $73.88 | $73.88 – $73.88 |
| 10 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $73.88 | $73.88 | $73.88 – $73.88 |
| 11 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $74.50 | $74.50 | $74.50 – $74.50 |
| 12 | Aetna opn commercial facility · percent of total billed charges · outpatientfrom % of charges | $74.63 | $74.63 | $74.63 – $74.63 |
| 13 | UnitedHealthcare nexus commercial facility · percent of total billed charges · inpatientfrom % of charges | $76.63 | $76.63 | $76.63 – $76.63 |
| 14 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $76.63 | $76.63 | $76.63 – $76.63 |
| 15 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $77.50 | $77.50 | $77.50 – $77.50 |
| 16 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $77.50 | $77.50 | $77.50 – $77.50 |
| 17 | Cigna csn commercial facility · percent of total billed charges · inpatientfrom % of charges | $79.13 | $79.13 | $79.13 – $79.13 |
| 18 | Aetna opn commercial facility · percent of total billed charges · inpatientfrom % of charges | $79.50 | $79.50 | $79.50 – $79.50 |
| 19 | Anthem blue access commercial facility · percent of total billed charges · inpatientfrom % of charges | $80.38 | $80.38 | $80.38 – $80.38 |
| 20 | Anthem traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $80.38 | $80.38 | $80.38 – $80.38 |
| 21 | Cigna csn commercial facility · percent of total billed charges · outpatientfrom % of charges | $80.63 | $80.63 | $80.63 – $80.63 |
| 22 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $81.50 | $81.50 | $81.50 – $81.50 |
| 23 | Medical Mutual supermed commercial facility · percent of total billed charges · outpatientfrom % of charges | $82.75 | $82.75 | $82.75 – $82.75 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $82.88 | $82.88 | $82.88 – $82.88 |
| 25 | Cigna oap commercial facility · percent of total billed charges · inpatientfrom % of charges | $84.50 | $84.50 | $84.50 – $84.50 |
Last updated: Jul 14, 2026
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