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
PRP I/HERN INIT REDUC >5 YR
Tustin, CA
See all hospitals reporting CPT 49505 →Price type
Alta Newport Hospital, LLC’s median price of $3.5k is 8% below the median hospital's median price ($3.9k), higher than 38% of the 2,152 hospitals reporting CPT 49505. 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, 17 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 | $58.25 | $58.25 | $58.25 – $58.25 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $66.75 | $66.75 | $66.75 – $66.75 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $72.68 | $72.68 | $72.68 – $72.68 |
| 4 | Aetna all gatekeeper plans facility · case rate · outpatient | $1,160 | $1,160 | $1,160 – $1,160 |
| 5 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $1,160 | $1,160 | $1,160 – $1,160 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $3,529 | $3,529 | $3,529 – $3,529 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $3,529 | $3,529 | $3,529 – $3,529 |
| 8 | Bcbs Ca medicare advantage facility · case rate · outpatient | $3,529 | $3,529 | $3,529 – $3,529 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $3,529 | $3,529 | $3,529 – $3,529 |
| 10 | Optum commercial hmo facility · case rate · outpatient | $3,529 | $3,529 | $3,529 – $3,529 |
| 11 | Optum medicare advantage facility · case rate · outpatient | $3,600 | $3,600 | $3,600 – $3,600 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $3,600 | $3,600 | $3,600 – $3,600 |
| 13 | UnitedHealthcare managed care facility · case rate · outpatient | $4,110 | $4,110 | $4,110 – $4,110 |
| 14 | Cigna hmo/ppo facility · case rate · outpatient | $4,371 | $4,371 | $4,371 – $4,371 |
| 15 | Aetna exchange facility · case rate · outpatient | $4,588 | $4,588 | $4,588 – $4,588 |
| 16 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $9,100 | $9,100 | $9,100 – $9,100 |
| 17 | Anthem ppg facility · case rate · outpatient | $11,375 | $11,375 | $11,375 – $11,375 |
Last updated: Mar 18, 2026
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