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
PRQ TCAT PLMT NTRAC ST 1 LES
Tustin, CA
See all hospitals reporting CPT 92928 →Price type
Alta Newport Hospital, LLC’s median price of $11.3k is 10% below the median hospital's median price ($12.5k), higher than 34% of the 1,978 hospitals reporting CPT 92928. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | $217.59 | $217.59 | $217.59 – $217.59 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $249.36 | $249.36 | $249.36 – $249.36 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $271.51 | $271.51 | $271.51 – $271.51 |
| 4 | Aetna all gatekeeper plans facility · case rate · outpatient | $1,320 | $1,320 | $1,320 – $1,320 |
| 5 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $1,320 | $1,320 | $1,320 – $1,320 |
| 6 | UnitedHealthcare managed care facility · case rate · outpatient | $6,341 | $6,341 | $6,341 – $6,341 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $11,341 | $11,341 | $11,341 – $11,341 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $11,341 | $11,341 | $11,341 – $11,341 |
| 9 | Bcbs Ca medicare advantage facility · case rate · outpatient | $11,341 | $11,341 | $11,341 – $11,341 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $11,341 | $11,341 | $11,341 – $11,341 |
| 11 | Optum commercial hmo facility · case rate · outpatient | $11,341 | $11,341 | $11,341 – $11,341 |
| 12 | Optum medicare advantage facility · case rate · outpatient | $11,567 | $11,567 | $11,567 – $11,567 |
| 13 | WellCare medicare advantage facility · case rate · outpatient | $11,567 | $11,567 | $11,567 – $11,567 |
| 14 | Aetna exchange facility · case rate · outpatient | $14,743 | $14,743 | $14,743 – $14,743 |
| 15 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $29,243 | $29,243 | $29,243 – $29,243 |
| 16 | Anthem ppg facility · case rate · outpatient | $36,554 | $36,554 | $36,554 – $36,554 |
Last updated: Mar 18, 2026
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