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
RL-A-KEPPRA 98627
Northridge, CA
See all hospitals reporting CPT 80177 →Price type
Dignity Community Care’s median price of $12 is 44% below the median hospital's median price ($21), higher than 4% of the 2,572 hospitals reporting CPT 80177. 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, 31 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 | $10 | $10 | $2 | 19% | — | $8 – $12 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $10 | $10 | $2 | 19% | — | $8 – $12 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 5 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 7 | Humana commercial|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $11 | $11 | $3 | 25% | — | $8 – $13 |
| 12 | Anthem medicaid|< 21 fee schedule · outpatient | $12 | $12 | $4 | 32% | 2–20 | $8 – $16 |
| 13 | Anthem medicaid|> 21 fee schedule · outpatient | $12 | $12 | $4 | 32% | — | $8 – $16 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $12 | $12 | $4 | 33% | 2–20 | $8 – $16 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $12 | $12 | $4 | 33% | — | $8 – $16 |
| 16 | Molina medicaid|< 21 fee schedule · outpatient | $12 | $12 | $4 | 35% | — | $8 – $16 |
| 17 | Molina medicaid|> 21 fee schedule · outpatient | $12 | $12 | $4 | 35% | — | $8 – $16 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $31 | $31 | $23 | 74% | — | $8 – $53 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $31 | $31 | $23 | 74% | — | $8 – $53 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $31 | $31 | $23 | 74% | — | $8 – $53 |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $40 | $40 | $39 | 97% | — | $1 – $79 |
| 24 | Anthem commercial|vivity fee schedule · outpatient | $48 | $48 | $42 | 87% | — | $6 – $90 |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $48 | $48 | $47 | 97% | — | $1 – $96 |
Last updated: Feb 28, 2026
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