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
AMNIOEXCEL 4X5 2714X-3529
Los Angeles, CA
See all hospitals reporting HCPCS Q4137 →Price type
Dignity Community Care’s median price of $4.8k is 2925% above the median hospital's median price ($159), higher than 99% of the 1,253 hospitals reporting HCPCS Q4137. 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 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 2 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 3 | Molina medicaid|< 21 fee schedule · inpatient | $3.0k | $3.1k | $1.6k | 50% | — | $1.4k – $5.3k |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $3.0k | $3.1k | $1.6k | 50% | — | $1.4k – $5.3k |
| 5 | Molina medicaid|> 21 fee schedule · inpatient | $3.0k | $3.1k | $1.6k | 50% | — | $1.4k – $5.3k |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $3.0k | $3.1k | $1.6k | 50% | — | $1.4k – $5.3k |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $3.2k | $3.4k | $1.7k | 50% | — | $1.5k – $5.7k |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $3.2k | $3.4k | $1.7k | 50% | — | $1.5k – $5.7k |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $4.5k | $4.8k | $2.4k | 50% | — | $2.2k – $8.0k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $5.3k | $5.6k | $2.8k | 50% | — | $2.5k – $9.4k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $5.3k | $5.6k | $2.8k | 50% | — | $2.5k – $9.4k |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $5.6k | $6.0k | $3.0k | 50% | — | $2.7k – $10.1k |
| 13 | Aetna commercial|all other plans fee schedule · inpatient | $6.8k | $7.3k | $3.7k | 50% | — | $3.3k – $12.2k |
| 14 | Aetna commercial|hmo fee schedule · inpatient | $6.8k | $7.3k | $3.7k | 50% | — | $3.3k – $12.2k |
| 15 | Aetna commercial|ppo fee schedule · inpatient | $6.8k | $7.3k | $3.7k | 50% | — | $3.3k – $12.2k |
| 16 | Anthem commercial|all other plans fee schedule · outpatient | $6.9k | $7.4k | $3.7k | 50% | — | $3.3k – $12.4k |
| 17 | Anthem commercial|mcs fee schedule · outpatient | $6.9k | $7.4k | $3.7k | 50% | — | $3.3k – $12.4k |
| 18 | First Health commercial|all plans fee schedule · inpatient | $8.9k | $9.4k | $4.8k | 50% | — | $4.3k – $15.8k |
| 19 | First Health commercial|all plans fee schedule · outpatient | $8.9k | $9.4k | $4.8k | 50% | — | $4.3k – $15.8k |
| 20 | Kaiser commercial|all plans fee schedule · inpatient | $9.0k | $9.6k | $4.8k | 50% | — | $4.3k – $16.1k |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $9.0k | $9.6k | $4.8k | 50% | — | $4.3k – $16.1k |
| 22 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $9.6k | $10.3k | $5.2k | 50% | — | $4.6k – $17.2k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $10.1k | $10.8k | $5.4k | 50% | — | $4.9k – $18.1k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $10.1k | $10.8k | $5.4k | 50% | — | $4.9k – $18.1k |
| 25 | Cigna commercial|all other plans fee schedule · outpatient | $12.6k | $13.4k | $6.8k | 50% | — | $6.0k – $22.5k |
Last updated: Feb 28, 2026
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