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
DURVAL 500MG/10ML SDVJWTB
Northridge, CA
See all hospitals reporting HCPCS J9173 →Price type
Dignity Community Care’s median price of $112 is 26% below the median hospital's median price ($152), higher than 37% of the 1,760 hospitals reporting HCPCS J9173. 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, 29 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 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Aetna medicare|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Anthem medicare|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 6 | First Health commercial|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Humana commercial|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Humana medicare|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Molina medicare|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 11 | UnitedHealthcare medicare|all plans case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Anthem medicaid|< 21 fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 13 | Anthem medicaid|> 21 fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 14 | Molina medicaid|< 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 15 | Molina medicaid|> 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 18 | Aetna commercial|all other plans fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 19 | Aetna commercial|hmo fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 20 | Aetna commercial|ppo fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 21 | Anthem commercial|all other plans fee schedule · outpatient | $185 | $185 | — | — | 2–20 | $185 – $185 |
| 22 | Anthem commercial|mcs fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 23 | Anthem commercial|vivity fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 24 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $419 | $419 | — | — | — | $419 – $419 |
| 25 | Cigna commercial|all other plans fee schedule · outpatient | $3.0k | $3.0k | $1.6k | 52% | — | $1.4k – $4.5k |
Last updated: Feb 28, 2026
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