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
DESTRUCT PREMALG LES 2-14
Glendale, CA
See all hospitals reporting CPT 17003 →Price type
Dignity Community Care’s median price of $16 is 79% below the median hospital's median price ($77), higher than 32% of the 1,779 hospitals reporting CPT 17003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Molina medicaid|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Kaiser medicaid|< 21 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Kaiser medicaid|> 21 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 6 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $844 | $844 | — | — | — | $844 – $844 |
Last updated: Feb 28, 2026
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