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-RFLX AGFGS 2005834
Carmichael, CA
See all hospitals reporting CPT 81259 →Price type
Dignity Health’s median price of $468 is 26% below the median hospital's median price ($630), higher than 8% of the 1,806 hospitals reporting CPT 81259. 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, 32 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|all plans fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 2 | Kaiser commercial|all plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 3 | First Health commercial|all plans fee schedule · inpatient | $351 | $351 | — | — | — | $351 – $351 |
| 4 | First Health commercial|all plans fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 5 | Anthem commercial|connection epo fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $388 | $388 | — | — | — | $388 – $388 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $388 | $388 | — | — | — | $388 – $388 |
| 8 | Anthem medicare|all other plans fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 9 | Aetna commercial|all other plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 10 | Aetna commercial|hmo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 11 | Aetna commercial|ppo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 12 | Aetna medicare|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 13 | Anthem commercial|all other plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 14 | Anthem commercial|mcs fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 15 | Anthem medicaid|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 16 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 17 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 18 | Humana commercial|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 19 | Humana medicare|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 20 | Kaiser medicare|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 21 | Molina medicaid|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 22 | Molina medicare|all plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 24 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 25 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
Last updated: Feb 28, 2026
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