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
AmnioExcel 4cm x 8cm disk
Low
$85
Average
$447
Median
$495
High
$713
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6 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 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $85 | $36 | 42% | — | $39 – $159 |
| 2 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 2 | $383 | $383 | $224 | 58% | — | $159 – $607 |
| 3 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 4 | Tri-City Medical Center Oceanside, CA facility · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $998 | $534 | 54% | — | $238 – $1.7k |
| 6 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $834 | $807 | $479 | 59% | — | $152 – $1.7k |
← Payers reporting HCPCS Q4137 · Snapshot 20261111T120946Z-9134e7f7