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
IA HEP B SURFACE AG QL
Northridge, CA
See all hospitals reporting CPT 87340 →Price type
Dignity Community Care’s median price of $18 is 3% below the median hospital's median price ($18), higher than 49% of the 2,633 hospitals reporting CPT 87340. 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 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | First Health commercial|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Humana commercial|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Kaiser medicaid|< 21 fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Kaiser medicaid|> 21 fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Anthem medicaid|< 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Anthem medicaid|> 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Molina medicaid|< 21 fee schedule · outpatient | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 17 | Molina medicaid|> 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 24 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
Last updated: Feb 28, 2026
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