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-FTA 50477
Northridge, CA
See all hospitals reporting CPT 86780 →Price type
Dignity Community Care’s median price of $13 is 41% below the median hospital's median price ($22), higher than 7% of the 2,632 hospitals reporting CPT 86780. 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 | $11 | $11 | $1 | 7% | — | $10 – $11 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $11 | $11 | $1 | 7% | — | $10 – $11 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 5 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 7 | Humana commercial|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $13 | $12 | $2 | 13% | — | $10 – $13 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $3 | $13 | $17 | 133% | — | $1 – $48 |
| 13 | Anthem medicaid|< 21 fee schedule · outpatient | $15 | $13 | $3 | 19% | 6–60 | $10 – $15 |
| 14 | Anthem medicaid|> 21 fee schedule · outpatient | $15 | $13 | $3 | 19% | — | $10 – $15 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $16 | $14 | $3 | 21% | — | $10 – $16 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $16 | $14 | $3 | 21% | — | $10 – $16 |
| 17 | Molina medicaid|< 21 fee schedule · outpatient | $16 | $14 | $3 | 21% | 17 | $10 – $16 |
| 18 | Molina medicaid|> 21 fee schedule · outpatient | $16 | $14 | $3 | 21% | — | $10 – $16 |
| 19 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3 | $16 | $21 | 133% | — | $2 – $58 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 21 | Cigna commercial|ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 22 | Aetna commercial|all other plans fee schedule · outpatient | $19 | $28 | $19 | 70% | 6–60 | $10 – $55 |
| 23 | Aetna commercial|hmo fee schedule · outpatient | $19 | $28 | $19 | 70% | 6–60 | $10 – $55 |
| 24 | Aetna commercial|ppo fee schedule · outpatient | $19 | $28 | $19 | 70% | 6–60 | $10 – $55 |
| 25 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
Last updated: Feb 28, 2026
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