Low
$3.3k
Average
$19.7k
Median
$16.3k
High
$39.5k
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4 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 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 3 | $180 | $178 | $16 | 9% | — | $157 – $196 |
| 3 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 2 | $39.5k | $39.5k | $23.1k | 58% | — | $16.4k – $62.6k |
| 4 | UCLA West Valley Medical Center West Hills, CA fee schedule · outpatient | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
← Payers reporting CPT 28715 · Snapshot 20261112T181611Z-3fa9fb76