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
O P CONCENTRATE ID
Northridge, CA
See all hospitals reporting CPT 87177 →Price type
Dignity Community Care’s median price of $11 is 28% below the median hospital's median price ($15), higher than 34% of the 2,588 hospitals reporting CPT 87177. 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 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | First Health commercial|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Humana commercial|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Kaiser medicaid|< 21 fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Kaiser medicaid|> 21 fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 12 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Molina medicaid|< 21 fee schedule · outpatient | $14 | $14 | — | — | 2–20 | $14 – $14 |
| 15 | Molina medicaid|> 21 fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 16 | Anthem medicaid|< 21 fee schedule · outpatient | $15 | $15 | — | — | 2–20 | $15 – $15 |
| 17 | Anthem medicaid|> 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $23 | $23 | $19 | 82% | — | $4 – $42 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $28 | $28 | $23 | 82% | — | $5 – $51 |
| 22 | Aetna commercial|all other plans fee schedule · outpatient | $33 | $33 | $4 | 11% | — | $29 – $37 |
| 23 | Aetna commercial|hmo fee schedule · outpatient | $33 | $33 | $4 | 11% | — | $29 – $37 |
| 24 | Aetna commercial|ppo fee schedule · outpatient | $33 | $33 | $4 | 11% | — | $29 – $37 |
| 25 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
Last updated: Feb 28, 2026
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