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
NFCT DS 22 TRGT SARS-COV-2
Tustin, CA
See all hospitals reporting CPT 0202U →Price type
Alta Newport Hospital, LLC’s median price of $438 is about the same as the median hospital's median price ($440), higher than 44% of the 2,086 hospitals reporting CPT 0202U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 23 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $9.42 | $9.42 | $9.42 – $9.42 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $10.79 | $10.79 | $10.79 – $10.79 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $11.75 | $11.75 | $11.75 – $11.75 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $416.78 | $416.78 | $416.78 – $416.78 |
| 5 | Bcbs Ca medicare advantage facility · case rate · outpatient | $416.78 | $416.78 | $416.78 – $416.78 |
| 6 | Humana medicare advantage facility · case rate · outpatient | $416.78 | $416.78 | $416.78 – $416.78 |
| 7 | Optum commercial hmo facility · case rate · outpatient | $416.78 | $416.78 | $416.78 – $416.78 |
| 8 | UnitedHealthcare managed care facility · fee schedule · outpatient | $416.78 | $416.78 | $416.78 – $416.78 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $425.12 | $425.12 | $425.12 – $425.12 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $425.12 | $425.12 | $425.12 – $425.12 |
| 11 | Aetna exchange facility · case rate · outpatient | $541.81 | $541.81 | $541.81 – $541.81 |
| 12 | Cigna hmo/ppo facility · fee schedule · outpatient | $720.62 | $720.62 | $720.62 – $720.62 |
| 13 | Anthem medicare advantage facility · fee schedule · outpatient | $854.40 | $854.40 | $854.40 – $854.40 |
| 14 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $923.37 | $923.37 | $923.37 – $923.37 |
| 15 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,036 | $1,036 | $1,036 – $1,036 |
| 16 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,036 | $1,036 | $1,036 – $1,036 |
| 17 | Anthem commercial hmo-ppo/covered california facility · fee schedule · outpatient | $1,098 | $1,098 | $1,098 – $1,098 |
| 18 | Aetna all non-gatekeeper plans facility · fee schedule · outpatient | $1,191 | $1,191 | $1,191 – $1,191 |
| 19 | Aetna all gatekeeper plans facility · case rate · outpatient | $1,220 | $1,220 | $1,220 – $1,220 |
| 20 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $1,220 | $1,220 | $1,220 – $1,220 |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,238 | $1,238 | $1,238 – $1,238 |
| 22 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,238 | $1,238 | $1,238 – $1,238 |
| 23 | Anthem ppg facility · fee schedule · outpatient | $1,372 | $1,372 | $1,372 – $1,372 |
Last updated: Mar 18, 2026
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