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
CONN TISS NHUM 195X-254
Los Angeles, CA
See all hospitals reporting HCPCS C1763 →Price type
Dignity Community Care’s median price of $3.0k is 16% above the median hospital's median price ($2.6k), higher than 59% of the 1,467 hospitals reporting HCPCS C1763. 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, 26 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 | Molina medicaid|< 21 fee schedule · inpatient | $1.6k | $4.6k | $6.0k | 129% | — | $132 – $18.7k |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $1.6k | $4.6k | $6.0k | 129% | — | $132 – $18.7k |
| 3 | Molina medicaid|> 21 fee schedule · inpatient | $1.6k | $4.6k | $6.0k | 129% | — | $132 – $18.7k |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $1.6k | $4.6k | $6.0k | 129% | — | $132 – $18.7k |
| 5 | Anthem medicaid|all plans fee schedule · inpatient | $1.8k | $5.0k | $6.5k | 129% | — | $144 – $20.3k |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $1.8k | $5.0k | $6.5k | 129% | — | $144 – $20.3k |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $2.5k | $7.1k | $9.1k | 129% | — | $201 – $28.4k |
| 8 | Cigna commercial|all other plans fee schedule · inpatient | $2.9k | $8.3k | $10.7k | 129% | — | $236 – $33.3k |
| 9 | Cigna commercial|ppo fee schedule · inpatient | $2.9k | $8.3k | $10.7k | 129% | — | $236 – $33.3k |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $3.1k | $8.9k | $11.5k | 129% | — | $253 – $35.7k |
| 11 | Aetna commercial|all other plans fee schedule · inpatient | $3.8k | $10.7k | $13.8k | 129% | — | $305 – $43.0k |
| 12 | Aetna commercial|hmo fee schedule · inpatient | $3.8k | $10.7k | $13.8k | 129% | — | $305 – $43.0k |
| 13 | Aetna commercial|ppo fee schedule · inpatient | $3.8k | $10.7k | $13.8k | 129% | — | $305 – $43.0k |
| 14 | Anthem commercial|all other plans fee schedule · outpatient | $3.8k | $10.9k | $14.1k | 129% | — | $311 – $43.8k |
| 15 | Anthem commercial|mcs fee schedule · outpatient | $3.8k | $10.9k | $14.1k | 129% | — | $311 – $43.8k |
| 16 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $3.8k | $10.9k | $14.1k | 129% | — | $311 – $43.8k |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $4.0k | $11.3k | $14.6k | 129% | — | $322 – $45.5k |
| 18 | First Health commercial|all plans fee schedule · inpatient | $4.9k | $13.9k | $18.0k | 129% | — | $397 – $56.0k |
| 19 | First Health commercial|all plans fee schedule · outpatient | $4.9k | $13.9k | $18.0k | 129% | — | $397 – $56.0k |
| 20 | Kaiser commercial|all plans fee schedule · inpatient | $5.0k | $14.1k | $18.3k | 129% | — | $403 – $56.8k |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $5.0k | $14.1k | $18.3k | 129% | — | $403 – $56.8k |
| 22 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $5.3k | $15.1k | $19.6k | 129% | — | $431 – $60.9k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $5.6k | $15.9k | $20.6k | 129% | — | $454 – $64.1k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $5.6k | $15.9k | $20.6k | 129% | — | $454 – $64.1k |
| 25 | Cigna commercial|all other plans fee schedule · outpatient | $7.0k | $19.8k | $25.6k | 129% | — | $564 – $79.6k |
Last updated: Feb 28, 2026
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