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
ORGANISM ID 3
Tustin, CA
See all hospitals reporting CPT 87077 →Price type
Alta Newport Hospital, LLC’s median price of $8 is 47% below the median hospital's median price ($16), higher than 18% of the 2,602 hospitals reporting CPT 87077. 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 | $0.26 | $0.26 | $0.26 – $0.26 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $0.30 | $0.30 | $0.30 – $0.30 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $0.32 | $0.32 | $0.32 – $0.32 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $8.08 | $8.08 | $8.08 – $8.08 |
| 5 | Bcbs Ca medicare advantage facility · case rate · outpatient | $8.08 | $8.08 | $8.08 – $8.08 |
| 6 | Humana medicare advantage facility · case rate · outpatient | $8.08 | $8.08 | $8.08 – $8.08 |
| 7 | Optum commercial hmo facility · case rate · outpatient | $8.08 | $8.08 | $8.08 – $8.08 |
| 8 | UnitedHealthcare managed care facility · fee schedule · outpatient | $8.08 | $8.08 | $8.08 – $8.08 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $8.24 | $8.24 | $8.24 – $8.24 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $8.24 | $8.24 | $8.24 – $8.24 |
| 11 | Aetna exchange facility · case rate · outpatient | $10.50 | $10.50 | $10.50 – $10.50 |
| 12 | Cigna hmo/ppo facility · fee schedule · outpatient | $13.97 | $13.97 | $13.97 – $13.97 |
| 13 | Anthem medicare advantage facility · fee schedule · outpatient | $16.56 | $16.56 | $16.56 – $16.56 |
| 14 | Anthem commercial hmo-ppo/covered california facility · fee schedule · outpatient | $21.28 | $21.28 | $21.28 – $21.28 |
| 15 | Aetna all non-gatekeeper plans facility · fee schedule · outpatient | $23.46 | $23.46 | $23.46 – $23.46 |
| 16 | Aetna all gatekeeper plans facility · case rate · outpatient | $24.04 | $24.04 | $24.04 – $24.04 |
| 17 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $24.04 | $24.04 | $24.04 – $24.04 |
| 18 | Anthem ppg facility · fee schedule · outpatient | $26.60 | $26.60 | $26.60 – $26.60 |
| 19 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $61.30 | $61.30 | $61.30 – $61.30 |
| 20 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $68.80 | $68.80 | $68.80 – $68.80 |
| 21 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $68.80 | $68.80 | $68.80 – $68.80 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $82.17 | $82.17 | $82.17 – $82.17 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $82.17 | $82.17 | $82.17 – $82.17 |
Last updated: Mar 18, 2026
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