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
SP BONE ALGRFT STRUCT ADD-ON
Carmichael, CA
See all hospitals reporting CPT 20931 →Price type
Dignity Health’s median price of $4.2k is 228% above the median hospital's median price ($1.3k), higher than 80% of the 1,484 hospitals reporting CPT 20931. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 17 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 5 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 6 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Anthem commercial|connection epo case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 9 | Aetna commercial|all other plans case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Aetna commercial|hmo case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 11 | Aetna commercial|ppo case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | Anthem commercial|all other plans case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 13 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 14 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 15 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 16 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 17 | Anthem commercial|mcs case rate · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Feb 28, 2026
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