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
OMENTAL FLAP EXTRA-ABDOM
Northridge, CA
See all hospitals reporting CPT 49904 →Price type
Dignity Community Care’s median price of $1.1k is 70% below the median hospital's median price ($3.5k), higher than 3% of the 1,209 hospitals reporting CPT 49904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 12 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 | $740 | $740 | — | — | — | $740 – $740 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $740 | $740 | — | — | — | $740 – $740 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Anthem commercial|vivity case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 9 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 10 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 11 | Anthem commercial|all other plans case rate · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 12 | Anthem commercial|mcs case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Feb 28, 2026
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