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
PEN G BEN/PRO 1.2MMU JWTB
Los Angeles, CA
See all hospitals reporting HCPCS J0558 →Price type
Dignity Community Care’s median price of $29 is 13% above the median hospital's median price ($25), higher than 55% of the 1,634 hospitals reporting HCPCS J0558. 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, 28 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 | Anthem commercial|exchange fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Molina medicare|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | UnitedHealthcare medicare|all plans case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Anthem commercial|all other plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Anthem commercial|mcs fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 12 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Molina medicaid|< 21 fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Molina medicaid|> 21 fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Anthem medicaid|all plans fee schedule · inpatient | $90 | $90 | — | — | — | $90 – $90 |
| 19 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 21 | Cigna commercial|ppo fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 22 | First Health commercial|all plans fee schedule · inpatient | $247 | $247 | — | — | — | $247 – $247 |
| 23 | First Health commercial|all plans fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $251 | $251 | — | — | — | $251 – $251 |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
Last updated: Feb 28, 2026
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