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
INTRO EP LASR 88X-115
Glendale, CA
See all hospitals reporting HCPCS C2629 →Price type
Dignity Community Care’s median price of $180 is 95% below the median hospital's median price ($3.6k), higher than 12% of the 874 hospitals reporting HCPCS C2629. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 · inpatient | $101 | $104 | $23 | 22% | — | $77 – $132 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $101 | $104 | $23 | 22% | — | $77 – $132 |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $110 | $113 | $25 | 22% | — | $84 – $144 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $110 | $113 | $25 | 22% | — | $84 – $144 |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $132 | $135 | $29 | 22% | — | $101 – $173 |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $132 | $135 | $29 | 22% | — | $101 – $173 |
| 7 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $224 | $230 | $50 | 22% | — | $171 – $293 |
| 8 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $229 | $234 | $51 | 22% | — | $174 – $299 |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $229 | $234 | $51 | 22% | — | $174 – $299 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $242 | $248 | $54 | 22% | — | $184 – $316 |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $246 | $252 | $55 | 22% | — | $188 – $322 |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $246 | $252 | $55 | 22% | — | $188 – $322 |
| 13 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $264 | $270 | $59 | 22% | — | $201 – $345 |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $264 | $270 | $59 | 22% | — | $201 – $345 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $286 | $293 | $64 | 22% | — | $218 – $374 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $286 | $293 | $64 | 22% | — | $218 – $374 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $299 | $306 | $67 | 22% | — | $228 – $391 |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $299 | $306 | $67 | 22% | — | $228 – $391 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $330 | $338 | $74 | 22% | — | $251 – $431 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $352 | $360 | $79 | 22% | — | $268 – $460 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $352 | $360 | $79 | 22% | — | $268 – $460 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $378 | $387 | $84 | 22% | — | $288 – $495 |
| 23 | Anthem commercial|mcs fee schedule · inpatient | $418 | $428 | $93 | 22% | — | $318 – $546 |
| 24 | Anthem commercial|non-mcs fee schedule · inpatient | $418 | $428 | $93 | 22% | — | $318 – $546 |
| 25 | Aetna commercial|all other plans fee schedule · inpatient | $436 | $446 | $97 | 22% | — | $332 – $569 |
Last updated: Feb 28, 2026
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