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
SOD SERUM/BLD/PLASMA NONL
Los Angeles, CA
See all hospitals reporting CPT 84295 →Price type
Dignity Community Care’s median price of $6 is 34% below the median hospital's median price ($10), higher than 33% of the 2,680 hospitals reporting CPT 84295. 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 | Aetna medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Molina medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $7 | $7 | — | — | 2–20 | $7 – $7 |
| 9 | Molina medicaid|< 21 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Molina medicaid|> 21 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Kaiser medicaid|< 21 fee schedule · outpatient | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 12 | Kaiser medicaid|> 21 fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Anthem commercial|exchange fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $45 | $45 | $1 | 2% | — | $44 – $47 |
| 21 | Anthem commercial|all other plans fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 22 | Anthem commercial|mcs fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 23 | First Health commercial|all plans fee schedule · outpatient | $131 | $131 | $3 | 2% | — | $128 – $134 |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $133 | $133 | $3 | 2% | — | $130 – $136 |
| 25 | First Health commercial|all plans fee schedule · inpatient | $134 | $134 | — | — | — | $134 – $134 |
Last updated: Feb 28, 2026
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