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
O P CONCENTRATE ID
Los Angeles, CA
See all hospitals reporting CPT 87177 →Price type
Dignity Community Care’s median price of $10 is 32% below the median hospital's median price ($15), higher than 30% of the 2,629 hospitals reporting CPT 87177. 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 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Molina medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Molina medicaid|< 21 fee schedule · outpatient | $13 | $13 | $1 | 9% | — | $12 – $14 |
| 9 | Molina medicaid|> 21 fee schedule · outpatient | $13 | $13 | $1 | 9% | — | $12 – $14 |
| 10 | Anthem medicaid|all plans fee schedule · outpatient | $13 | $13 | $1 | 10% | — | $12 – $15 |
| 11 | Kaiser medicaid|< 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Kaiser medicaid|> 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $28 | $28 | $16 | 57% | — | $12 – $44 |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $28 | $28 | $16 | 57% | — | $12 – $44 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $28 | $28 | $16 | 57% | — | $12 – $44 |
| 18 | Anthem commercial|exchange fee schedule · outpatient | $39 | $39 | $32 | 81% | — | $7 – $71 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $42 | $42 | $39 | 93% | — | $3 – $80 |
| 20 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 21 | Anthem commercial|all other plans fee schedule · outpatient | $59 | $59 | $48 | 81% | — | $11 – $107 |
| 22 | Anthem commercial|mcs fee schedule · outpatient | $72 | $72 | $60 | 83% | — | $12 – $132 |
| 23 | First Health commercial|all plans fee schedule · outpatient | $119 | $119 | $111 | 93% | — | $8 – $230 |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $121 | $121 | $113 | 93% | — | $8 – $234 |
| 25 | First Health commercial|all plans fee schedule · inpatient | $127 | $127 | $118 | 93% | — | $8 – $245 |
Last updated: Feb 28, 2026
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