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-FIBRO V 2005661A
Northridge, CA
See all hospitals reporting CPT 84450 →Price type
Dignity Community Care’s median price of $6 is 34% below the median hospital's median price ($10), higher than 30% of the 2,625 hospitals reporting CPT 84450. 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 | Aetna medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | First Health commercial|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Humana commercial|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Kaiser medicaid|< 21 fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Kaiser medicaid|> 21 fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Anthem medicaid|< 21 fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 15 | Anthem medicaid|> 21 fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 16 | Molina medicaid|< 21 fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Molina medicaid|> 21 fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $21 | $20 | $2 | 10% | — | $17 – $21 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $21 | $20 | $2 | 10% | — | $17 – $21 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $21 | $20 | $2 | 10% | — | $17 – $21 |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $4 | $22 | $26 | 120% | — | $2 – $59 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $5 | $26 | $32 | 120% | — | $3 – $71 |
| 25 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
Last updated: Feb 28, 2026
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