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 GLS MCRSCP SLD LEVEL V
Haven, CT
See all hospitals reporting CPT 0754T →Price type
Yale New Haven Hospital’s median price of $115 is 69% above the median hospital's median price ($68), higher than 59% 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: 8 payers, 8 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 | WellCare all plans fee schedule · outpatient | $42.45 | $42.45 | $42.45 – $42.45 |
| 2 | Aetna all plans fee schedule · outpatient | $68.63 | $68.63 | $48.71 – $88.55 |
| 3 | Anthem all plans fee schedule · outpatient | $77.54 | $77.54 | $42.32 – $112.76 |
| 4 | UnitedHealthcare all plans fee schedule · outpatient | $79.76 | $79.76 | $45.62 – $113.89 |
| 5 | Optum all plans fee schedule · outpatient | $96.43 | $96.43 | $96.43 – $96.43 |
| 6 | Magellan all plans fee schedule · outpatient | $123.03 | $123.03 | $123.03 – $123.03 |
| 7 | Cigna all plans fee schedule · outpatient | $128.45 | $128.45 | $128.45 – $128.45 |
| 8 | First Health all plans fee schedule · outpatient | $282.63 | $282.63 | $282.63 – $282.63 |
Last updated: Sep 19, 2026
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