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
EVL/IN ICM UT 30DY 1+PCDE
Carmichael, CA
See all hospitals reporting CPT 93297 →Price type
Dignity Health’s median price of $70 is 37% above the median hospital's median price ($51), higher than 66% of the 1,405 hospitals reporting CPT 93297. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Anthem medicare|all other plans fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Humana commercial|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 11 | Kaiser medicare|all plans case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Molina medicare|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Anthem medicare|imperial fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 15 | Kaiser medicaid|all plans fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 16 | Anthem commercial|connection epo fee schedule · outpatient | $321 | $321 | — | — | — | $321 – $321 |
| 17 | Kaiser commercial|all plans fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 18 | Anthem commercial|all other plans fee schedule · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 19 | First Health commercial|all plans fee schedule · inpatient | $475 | $475 | — | — | — | $475 – $475 |
| 20 | First Health commercial|all plans fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $525 | $525 | — | — | — | $525 – $525 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $562 | $562 | — | — | — | $562 – $562 |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $633 | $633 | — | — | — | $633 – $633 |
| 25 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $633 | $633 | — | — | — | $633 – $633 |
Last updated: Feb 28, 2026
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