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
DERMACL 8X16CM 3529X-4588
Glendale, CA
See all hospitals reporting HCPCS Q4122 →Price type
Dignity Community Care’s median price of $10.1k is 5307% above the median hospital's median price ($186), higher than 98% of the 1,350 hospitals reporting HCPCS Q4122. 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, 29 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 | $131 | $131 | — | — | — | $131 – $131 |
| 2 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 5 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 6 | Anthem commercial|mcs fee schedule · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 7 | Anthem commercial|non-mcs fee schedule · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $5.3k | $7.0k | $3.3k | 47% | — | $4.1k – $11.6k |
| 9 | Molina medicaid|all plans fee schedule · outpatient | $5.3k | $7.0k | $3.3k | 47% | — | $4.1k – $11.6k |
| 10 | Anthem medicaid|all plans fee schedule · inpatient | $5.7k | $7.6k | $3.6k | 47% | — | $4.4k – $12.6k |
| 11 | Cigna commercial|all other plans fee schedule · inpatient | $6.9k | $9.1k | $4.3k | 47% | — | $5.3k – $15.1k |
| 12 | Cigna commercial|ppo fee schedule · inpatient | $6.9k | $9.1k | $4.3k | 47% | — | $5.3k – $15.1k |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $12.8k | $17.0k | $8.0k | 47% | — | $9.9k – $28.2k |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $12.8k | $17.0k | $8.0k | 47% | — | $9.9k – $28.2k |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $13.8k | $18.2k | $8.6k | 47% | — | $10.6k – $30.2k |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $13.8k | $18.2k | $8.6k | 47% | — | $10.6k – $30.2k |
| 17 | First Health commercial|all plans fee schedule · inpatient | $14.9k | $19.7k | $9.3k | 47% | — | $11.5k – $32.8k |
| 18 | First Health commercial|all plans fee schedule · outpatient | $14.9k | $19.7k | $9.3k | 47% | — | $11.5k – $32.8k |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $15.6k | $20.6k | $9.8k | 47% | — | $12.0k – $34.3k |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $15.6k | $20.6k | $9.8k | 47% | — | $12.0k – $34.3k |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $17.2k | $22.7k | $10.8k | 47% | — | $13.2k – $37.8k |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $18.4k | $24.3k | $11.5k | 47% | — | $14.1k – $40.3k |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $18.4k | $24.3k | $11.5k | 47% | — | $14.1k – $40.3k |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $19.7k | $26.1k | $12.4k | 47% | — | $15.2k – $43.4k |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $21.8k | $28.8k | $13.6k | 47% | — | $16.8k – $47.9k |
Last updated: Feb 28, 2026
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