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
INSJ STABLJ DEV W/O DCMPRN
Glendale, CA
See all hospitals reporting CPT 22869 →Price type
Dignity Community Care’s median price of $10.9k is 15% below the median hospital's median price ($12.8k), higher than 35% of the 1,495 hospitals reporting CPT 22869. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 | Anthem medicaid|all plans fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 5 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 7 | Humana commercial|all plans fee schedule · outpatient | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 8 | UnitedHealthcare medicare|all plans case rate · outpatient | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 9 | Anthem medicare|alhambra senior fee schedule · outpatient | $18.8k | $18.8k | — | — | — | $18.8k – $18.8k |
| 10 | Anthem commercial|alhambra fee schedule · outpatient | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 11 | Anthem commercial|hcla fee schedule · outpatient | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
Last updated: Feb 28, 2026
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