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
RL-A-ACETA U 2014521
Carmichael, CA
See all hospitals reporting CPT 80143 →Price type
Dignity Health’s median price of $28 is about the same as the median hospital's median price ($28), higher than 50% of the 2,248 hospitals reporting CPT 80143. 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, 39 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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Anthem medicare|all other plans fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Humana commercial|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Anthem medicare|imperial fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 13 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Molina medicaid|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 19 | Anthem medicaid|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Kaiser medicaid|all plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 23 | Kaiser commercial|all plans fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 24 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Cigna commercial|localplus fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
Last updated: Feb 28, 2026
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