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
ALLOWRAP 4X8CM 5965X-7755
Glendale, CA
See all hospitals reporting HCPCS Q4150 →Price type
Dignity Community Care’s median price of $8.0k is 4601% above the median hospital's median price ($171), higher than 97% of the 1,235 hospitals reporting HCPCS Q4150. 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 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 2 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 3 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 4 | Molina medicaid|all plans fee schedule · inpatient | $5.5k | $5.4k | $2.7k | 50% | — | $1.8k – $8.9k |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $5.5k | $5.4k | $2.7k | 50% | — | $1.8k – $8.9k |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $5.9k | $5.9k | $2.9k | 50% | — | $2.0k – $9.7k |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $5.9k | $5.9k | $2.9k | 50% | — | $2.0k – $9.7k |
| 8 | Cigna commercial|all other plans fee schedule · inpatient | $7.1k | $7.1k | $3.5k | 50% | — | $2.4k – $11.6k |
| 9 | Cigna commercial|ppo fee schedule · inpatient | $7.1k | $7.1k | $3.5k | 50% | — | $2.4k – $11.6k |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $12.3k | $12.3k | $6.1k | 50% | — | $4.2k – $20.2k |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $13.3k | $13.2k | $6.5k | 50% | — | $4.5k – $21.7k |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $13.3k | $13.2k | $6.5k | 50% | — | $4.5k – $21.7k |
| 13 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $14.2k | $14.1k | $7.0k | 50% | — | $4.8k – $23.3k |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $14.2k | $14.1k | $7.0k | 50% | — | $4.8k – $23.3k |
| 15 | First Health commercial|all plans fee schedule · inpatient | $15.4k | $15.3k | $7.6k | 50% | — | $5.2k – $25.2k |
| 16 | First Health commercial|all plans fee schedule · outpatient | $15.4k | $15.3k | $7.6k | 50% | — | $5.2k – $25.2k |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $16.1k | $16.0k | $8.0k | 50% | — | $5.5k – $26.4k |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $16.1k | $16.0k | $8.0k | 50% | — | $5.5k – $26.4k |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $17.8k | $17.7k | $8.8k | 50% | — | $6.0k – $29.1k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $19.0k | $18.9k | $9.4k | 50% | — | $6.4k – $31.0k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $19.0k | $18.9k | $9.4k | 50% | — | $6.4k – $31.0k |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $20.4k | $20.3k | $10.1k | 50% | — | $6.9k – $33.3k |
| 23 | Anthem commercial|mcs fee schedule · inpatient | $22.5k | $22.4k | $11.1k | 50% | — | $7.6k – $36.8k |
| 24 | Anthem commercial|non-mcs fee schedule · inpatient | $22.5k | $22.4k | $11.1k | 50% | — | $7.6k – $36.8k |
| 25 | Aetna commercial|all other plans fee schedule · inpatient | $23.5k | $23.3k | $11.6k | 50% | — | $7.9k – $38.4k |
Last updated: Feb 28, 2026
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