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
INJECTION FOR URETER X-RAY
Northridge, CA
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | $308 | $308 | — | — | — | $308 – $308 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 7 | Anthem commercial|vivity case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Anthem commercial|all other plans case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Anthem commercial|mcs case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |