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
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$51
Average
$1.3k
Median
$539
High
$6.6k
Each hospital's average Bcbs Ca rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 16.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Bcbs Ca rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $344 | $344 | — | — | 1–10 | $344 – $344 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 3 | $2 | $2 | $0 | 9% | — | $2 – $3 |
| 4 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 2 | $3.1k | $6.6k | $7.9k | 120% | — | $257 – $19.8k |
| 6 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · case rate · outpatient | 3 | $3.7k | $2.9k | $1.6k | 54% | — | $701 – $4.3k |
| 7 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · other · outpatient | 2 | $2.1k | $2.1k | $293 | 14% | — | $1.8k – $2.3k |
| 8 | Childrens Hospital of Orange County - Profit Orange, CA facility · case rate · outpatient | 4 | $4.4k | $3.6k | $1.7k | 47% | — | $696 – $4.7k |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Childrens Hospital of Orange County - Profit Orange, CA facility · per diem · outpatient | 1 | $849 | $849 | — | — | — | $849 – $849 |
| 11 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $699 | $699 | — | — | — | $699 – $699 |
| 12 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $802 | $802 | — | — | — | $802 – $802 |
| 13 | Community Memorial Hospital Ventura, CA facility · other · outpatient | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 14 | Hayward Sisters Hospital Hayward, CA facility · case rate · outpatient | 3 | $1.6k | $1.6k | $474 | 30% | — | $1.1k – $2.1k |
| 15 | Ojai Valley Community Hospital Ca. 93023 facility · fee schedule · outpatient | 2 | $548 | $548 | $253 | 46% | — | $295 – $802 |
| 16 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $978 | $978 | — | — | — | $978 – $978 |
| 17 | Oroville Hospital Oroville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $269 | $269 | $26 | 10% | — | $243 – $295 |
| 18 | Tri-City Medical Center Oceanside, CA facility · fee schedule · outpatient | 2 | $206 | $206 | $52 | 25% | — | $153 – $258 |
| 19 | UCLA West Valley Medical Center West Hills, CA fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7