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
PREPARE SPERM DUCT X-RAY
Los Angeles, CA
See all hospitals reporting CPT 55300 →Price type
Dignity Community Care’s median price of $272 is 65% below the median hospital's median price ($774), higher than 32% of the 1,171 hospitals reporting CPT 55300. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 6 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Anthem commercial|exchange case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | Anthem commercial|all other plans case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Anthem commercial|mcs case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
Last updated: Feb 28, 2026
See Incision in sperm duct to allow contrast imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.