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
DERMAGRF 5X7.5 1234X-1605
Glendale, CA
See all hospitals reporting HCPCS Q4106 →Price type
Dignity Community Care’s median price of $2.4k is 2764% above the median hospital's median price ($84), higher than 92% of the 1,177 hospitals reporting HCPCS Q4106. 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, 31 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicaid|all plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 7 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 8 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Anthem commercial|mcs fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 10 | Anthem commercial|non-mcs fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 11 | Molina medicaid|all plans fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Anthem medicaid|all plans fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Cigna commercial|ppo fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 15 | Kaiser commercial|all plans fee schedule · inpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 16 | Kaiser commercial|all plans fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 17 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 18 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
Last updated: Feb 28, 2026
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