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
BMWD 4X10IN 13419X-14761
Northridge, CA
See all hospitals reporting HCPCS Q4104 →Price type
Dignity Community Care’s median price of $10.4k is 7519% above the median hospital's median price ($136), higher than 96% of the 1,714 hospitals reporting HCPCS Q4104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Anthem commercial|all other plans fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Anthem commercial|mcs fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Anthem commercial|vivity fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 10 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Molina medicaid|< 21 fee schedule · inpatient | $10.0k | $12.4k | $8.2k | 66% | — | $3.5k – $30.6k |
| 14 | Molina medicaid|> 21 fee schedule · inpatient | $10.0k | $12.4k | $8.2k | 66% | — | $3.5k – $30.6k |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $16.5k | $20.5k | $13.6k | 66% | — | $5.8k – $50.6k |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $16.5k | $20.5k | $13.6k | 66% | — | $5.8k – $50.6k |
| 17 | Anthem commercial|vivity fee schedule · inpatient | $26.1k | $24.8k | $10.4k | 42% | — | $9.1k – $35.7k |
| 18 | Kaiser commercial|all plans fee schedule · inpatient | $21.3k | $26.4k | $17.6k | 66% | — | $7.4k – $65.2k |
| 19 | Kaiser commercial|all plans fee schedule · outpatient | $21.3k | $26.4k | $17.6k | 66% | — | $7.4k – $65.2k |
| 20 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $28.2k | $35.0k | $23.3k | 66% | — | $9.9k – $86.5k |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $34.7k | $43.1k | $28.7k | 66% | — | $12.2k – $106.5k |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $34.7k | $43.1k | $28.7k | 66% | — | $12.2k – $106.5k |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $34.7k | $43.1k | $28.7k | 66% | — | $12.2k – $106.5k |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $35.2k | $43.6k | $29.0k | 66% | — | $12.3k – $107.8k |
| 25 | Cigna commercial|ppo fee schedule · outpatient | $35.2k | $43.6k | $29.0k | 66% | — | $12.3k – $107.8k |
Last updated: Feb 28, 2026
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