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
CT HRT STRC/MORP/3D W CON
Northridge, CA
See all hospitals reporting CPT 75572 →Price type
Dignity Community Care’s median price of $454 is 4% below the median hospital's median price ($473), higher than 47% of the 2,081 hospitals reporting CPT 75572. 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $305 | $305 | — | — | 1–10 | $305 – $305 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 9 | Aetna medicare|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 10 | Anthem medicare|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 11 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 12 | First Health commercial|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 13 | Humana commercial|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 14 | Humana medicare|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 15 | Kaiser medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 16 | Molina medicare|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 17 | UnitedHealthcare medicare|all plans case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 18 | Aetna commercial|all other plans fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 19 | Aetna commercial|hmo fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 20 | Aetna commercial|ppo fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 21 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Anthem commercial|vivity fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Anthem commercial|all other plans fee schedule · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 24 | Anthem commercial|mcs fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: Feb 28, 2026
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