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
NUSHIELD 4X4CM 1605X-2087
Northridge, CA
See all hospitals reporting HCPCS Q4160 →Price type
Dignity Community Care’s median price of $4.4k is 1999% above the median hospital's median price ($210), higher than 97% of the 1,494 hospitals reporting HCPCS Q4160. 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 | $94 | $94 | — | — | — | $94 – $94 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 9 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 10 | Molina medicaid|< 21 fee schedule · inpatient | $2.7k | $3.1k | $1.1k | 34% | — | $2.1k – $4.5k |
| 11 | Molina medicaid|> 21 fee schedule · inpatient | $2.7k | $3.1k | $1.1k | 34% | — | $2.1k – $4.5k |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $4.4k | $5.1k | $1.7k | 34% | — | $3.4k – $7.5k |
| 13 | Cigna commercial|ppo fee schedule · inpatient | $4.4k | $5.1k | $1.7k | 34% | — | $3.4k – $7.5k |
| 14 | Kaiser commercial|all plans fee schedule · inpatient | $5.7k | $6.6k | $2.2k | 34% | — | $4.4k – $9.7k |
| 15 | Kaiser commercial|all plans fee schedule · outpatient | $5.7k | $6.6k | $2.2k | 34% | — | $4.4k – $9.7k |
| 16 | Anthem commercial|vivity fee schedule · inpatient | $7.0k | $8.1k | $2.7k | 34% | — | $5.4k – $11.9k |
| 17 | Anthem commercial|vivity fee schedule · outpatient | $7.0k | $8.1k | $2.7k | 34% | — | $5.4k – $11.9k |
| 18 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $7.6k | $8.8k | $3.0k | 34% | — | $5.8k – $12.8k |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $9.4k | $10.8k | $3.7k | 34% | — | $7.2k – $15.8k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $9.4k | $10.8k | $3.7k | 34% | — | $7.2k – $15.8k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $9.4k | $10.8k | $3.7k | 34% | — | $7.2k – $15.8k |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $9.5k | $10.9k | $3.7k | 34% | — | $7.3k – $16.0k |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $9.5k | $10.9k | $3.7k | 34% | — | $7.3k – $16.0k |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $9.9k | $11.5k | $3.9k | 34% | — | $7.6k – $16.8k |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $9.9k | $11.5k | $3.9k | 34% | — | $7.6k – $16.8k |
Last updated: Feb 28, 2026
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