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
CLOSED TX ORBIT W/MANIPULJ
Northridge, CA
See all hospitals reporting CPT 21401 →Price type
Dignity Community Care’s median price of $1.9k is 8% above the median hospital's median price ($1.7k), higher than 55% of the 1,469 hospitals reporting CPT 21401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $663 | $663 | — | — | — | $663 – $663 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $663 | $663 | — | — | — | $663 – $663 |
| 7 | Aetna medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Anthem medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | First Health commercial|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Humana commercial|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Humana medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Kaiser medicare|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Molina medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | UnitedHealthcare medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Anthem commercial|vivity case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Anthem commercial|all other plans case rate · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 21 | Anthem commercial|mcs case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Feb 28, 2026
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