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
XR AORTOGRM ABD W ILIOFEM
Northridge, CA
See all hospitals reporting CPT 75630 →Price type
Dignity Community Care’s median price of $4.0k is 23% above the median hospital's median price ($3.3k), higher than 70% of the 2,136 hospitals reporting CPT 75630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 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 | $204 | $204 | — | — | — | $204 – $204 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 7 | Aetna commercial|all other plans fee schedule · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 8 | Aetna commercial|hmo fee schedule · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 9 | Aetna commercial|ppo fee schedule · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 10 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Aetna medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 12 | Anthem medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 13 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 14 | First Health commercial|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 15 | Humana commercial|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 16 | Humana medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Kaiser medicare|all plans fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | Molina medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | UnitedHealthcare medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Anthem commercial|vivity fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 22 | Anthem commercial|all other plans fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
Last updated: Feb 28, 2026
See Abdominal aortogram with runoff imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.