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
TF NEW PAT LEVEL 3 INTERMED
Kane, PA
Negotiated rates from the hospital’s own file: 6 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 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 3 | Aetna chip/medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 4 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 7 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Cigna commercial facility · per diem · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 10 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 12 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 13 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 14 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 15 | Highmark commercial - indemnity facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 16 | Highmark managed care facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 17 | Highmark medicaid facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 20 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 21 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 22 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |