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
PALINGEN 2X4CM 561X-730
Los Angeles, CA
See all hospitals reporting HCPCS Q4173 →Price type
Dignity Community Care’s median price of $1.8k is 422% above the median hospital's median price ($350), higher than 94% of the 959 hospitals reporting HCPCS Q4173. 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 | Molina medicaid|< 21 fee schedule · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 2 | Molina medicaid|> 21 fee schedule · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 5 | Molina medicaid|< 21 fee schedule · inpatient | $1.1k | $1.1k | $237 | 21% | — | $840 – $1.4k |
| 6 | Molina medicaid|> 21 fee schedule · inpatient | $1.1k | $1.1k | $237 | 21% | — | $840 – $1.4k |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $1.2k | $1.2k | $258 | 21% | — | $913 – $1.5k |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $1.2k | $1.2k | $258 | 21% | — | $913 – $1.5k |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $1.9k | $2.0k | $423 | 21% | — | $1.5k – $2.5k |
| 13 | Cigna commercial|ppo fee schedule · inpatient | $1.9k | $2.0k | $423 | 21% | — | $1.5k – $2.5k |
| 14 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $2.1k | $2.1k | $454 | 21% | — | $1.6k – $2.7k |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $2.5k | $2.6k | $547 | 21% | — | $1.9k – $3.3k |
| 16 | Aetna commercial|hmo fee schedule · inpatient | $2.5k | $2.6k | $547 | 21% | — | $1.9k – $3.3k |
| 17 | Aetna commercial|ppo fee schedule · inpatient | $2.5k | $2.6k | $547 | 21% | — | $1.9k – $3.3k |
| 18 | Anthem commercial|exchange fee schedule · outpatient | $3.0k | $2.8k | $352 | 12% | — | $2.3k – $3.1k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $3.3k | $3.3k | $712 | 21% | — | $2.5k – $4.3k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $3.3k | $3.3k | $712 | 21% | — | $2.5k – $4.3k |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $3.3k | $3.4k | $722 | 21% | — | $2.6k – $4.3k |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $3.3k | $3.4k | $722 | 21% | — | $2.6k – $4.3k |
| 23 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $3.6k | $3.6k | $774 | 21% | — | $2.7k – $4.6k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $3.7k | $3.8k | $815 | 21% | — | $2.9k – $4.9k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $3.7k | $3.8k | $815 | 21% | — | $2.9k – $4.9k |
Last updated: Feb 28, 2026
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