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
ALLOPATCH 4X8CM 949X-1234
Glendale, CA
See all hospitals reporting HCPCS Q4128 →Price type
Dignity Community Care’s median price of $5.5k is 4023% above the median hospital's median price ($133), higher than 92% of the 1,532 hospitals reporting HCPCS Q4128. 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicaid|all plans fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 5 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $5.3k | $6.6k | $4.4k | 67% | — | $1.4k – $14.0k |
| 9 | Anthem medicaid|all plans fee schedule · inpatient | $5.7k | $7.1k | $4.8k | 67% | — | $1.5k – $15.2k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $6.9k | $8.6k | $5.7k | 67% | — | $1.9k – $18.3k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $6.9k | $8.6k | $5.7k | 67% | — | $1.9k – $18.3k |
| 12 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $11.9k | $14.9k | $9.9k | 67% | — | $3.2k – $31.7k |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $12.8k | $16.0k | $10.7k | 67% | — | $3.5k – $34.2k |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $12.8k | $16.0k | $10.7k | 67% | — | $3.5k – $34.2k |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $13.8k | $17.1k | $11.4k | 67% | — | $3.7k – $36.6k |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $13.8k | $17.1k | $11.4k | 67% | — | $3.7k – $36.6k |
| 17 | First Health commercial|all plans fee schedule · inpatient | $14.9k | $18.6k | $12.4k | 67% | — | $4.0k – $39.6k |
| 18 | First Health commercial|all plans fee schedule · outpatient | $14.9k | $18.6k | $12.4k | 67% | — | $4.0k – $39.6k |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $15.6k | $19.4k | $12.9k | 67% | — | $4.2k – $41.5k |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $15.6k | $19.4k | $12.9k | 67% | — | $4.2k – $41.5k |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $17.2k | $21.4k | $14.3k | 67% | — | $4.6k – $45.7k |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $18.4k | $22.9k | $15.2k | 67% | — | $4.9k – $48.8k |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $18.4k | $22.9k | $15.2k | 67% | — | $4.9k – $48.8k |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $19.7k | $24.6k | $16.4k | 67% | — | $5.3k – $52.5k |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $21.8k | $27.1k | $18.1k | 67% | — | $5.9k – $57.9k |
Last updated: Feb 28, 2026
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