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
PUMP ELAST NON-OP115X-150
Sacramento, CA
See all hospitals reporting HCPCS C9804 →Price type
Dignity Community Care’s median price of $746 is 27% above the median hospital's median price ($589), higher than 62% of the 399 hospitals reporting HCPCS C9804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 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 commercial|all plans fee schedule · inpatient | $224 | $230 | $49 | 21% | — | $173 – $292 |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $224 | $230 | $49 | 21% | — | $173 – $292 |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $224 | $230 | $49 | 21% | — | $173 – $292 |
| 4 | Kaiser medicaid|all plans fee schedule · outpatient | $400 | $409 | $87 | 21% | — | $308 – $521 |
| 5 | First Health commercial|all plans fee schedule · inpatient | $731 | $749 | $160 | 21% | — | $563 – $953 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $731 | $749 | $160 | 21% | — | $563 – $953 |
| 7 | Kaiser commercial|all plans fee schedule · outpatient | $770 | $789 | $168 | 21% | — | $593 – $1.0k |
| 8 | MultiPlan commercial|all plans fee schedule · inpatient | $809 | $829 | $177 | 21% | — | $623 – $1.1k |
| 9 | MultiPlan commercial|all plans fee schedule · outpatient | $809 | $829 | $177 | 21% | — | $623 – $1.1k |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $965 | $988 | $211 | 21% | — | $743 – $1.3k |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $975 | $998 | $213 | 21% | — | $750 – $1.3k |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $975 | $998 | $213 | 21% | — | $750 – $1.3k |
| 13 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $975 | $998 | $213 | 21% | — | $750 – $1.3k |
Last updated: Feb 28, 2026
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