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 .25ML 254X-331
Los Angeles, CA
See all hospitals reporting HCPCS Q4174 →Price type
Dignity Community Care’s median price of $2.4k is 28% above the median hospital's median price ($1.9k), higher than 57% of the 836 hospitals reporting HCPCS Q4174. 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, 27 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 | $1.4k | $1.9k | $1.4k | 74% | — | $381 – $4.1k |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $1.4k | $1.9k | $1.4k | 74% | — | $381 – $4.1k |
| 3 | Molina medicaid|> 21 fee schedule · inpatient | $1.4k | $1.9k | $1.4k | 74% | — | $381 – $4.1k |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $1.4k | $1.9k | $1.4k | 74% | — | $381 – $4.1k |
| 5 | Anthem medicaid|all plans fee schedule · inpatient | $1.5k | $2.1k | $1.6k | 74% | — | $414 – $4.4k |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $1.5k | $2.1k | $1.6k | 74% | — | $414 – $4.4k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.6k | $2.2k | $1.6k | 74% | — | $430 – $4.6k |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.4k | $2.2k | $289 | 13% | — | $1.7k – $2.4k |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $2.4k | $2.2k | $289 | 13% | — | $1.7k – $2.4k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $2.5k | $3.4k | $2.6k | 74% | — | $679 – $7.2k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $2.5k | $3.4k | $2.6k | 74% | — | $679 – $7.2k |
| 12 | Anthem commercial|exchange fee schedule · outpatient | $3.9k | $3.7k | $2.0k | 53% | — | $1.1k – $5.8k |
| 13 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $2.7k | $3.7k | $2.7k | 74% | — | $728 – $7.8k |
| 14 | Aetna commercial|all other plans fee schedule · inpatient | $3.3k | $4.4k | $3.3k | 74% | — | $877 – $9.4k |
| 15 | Aetna commercial|hmo fee schedule · inpatient | $3.3k | $4.4k | $3.3k | 74% | — | $877 – $9.4k |
| 16 | Aetna commercial|ppo fee schedule · inpatient | $3.3k | $4.4k | $3.3k | 74% | — | $877 – $9.4k |
| 17 | Anthem commercial|all other plans fee schedule · outpatient | $5.9k | $5.5k | $3.0k | 54% | — | $1.6k – $8.7k |
| 18 | First Health commercial|all plans fee schedule · inpatient | $4.3k | $5.8k | $4.3k | 74% | — | $1.1k – $12.2k |
| 19 | First Health commercial|all plans fee schedule · outpatient | $4.3k | $5.8k | $4.3k | 74% | — | $1.1k – $12.2k |
| 20 | Kaiser commercial|all plans fee schedule · inpatient | $4.3k | $5.9k | $4.4k | 74% | — | $1.2k – $12.4k |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $4.3k | $5.9k | $4.4k | 74% | — | $1.2k – $12.4k |
| 22 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $4.6k | $6.3k | $4.7k | 74% | — | $1.2k – $13.2k |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $6.2k | $6.4k | $3.8k | 60% | — | $1.7k – $10.7k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $4.9k | $6.6k | $4.9k | 74% | — | $1.3k – $13.9k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $4.9k | $6.6k | $4.9k | 74% | — | $1.3k – $13.9k |
Last updated: Feb 28, 2026
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