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
BMWD 8X10IN 7755X-10082
Carmichael, CA
See all hospitals reporting HCPCS Q4104 →Price type
Dignity Health’s median price of $7.2k is 5217% above the median hospital's median price ($136), higher than 90% of the 1,727 hospitals reporting HCPCS Q4104. 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, 36 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 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Anthem commercial|connection epo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Anthem commercial|all other plans fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Anthem commercial|mcs fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 14 | Kaiser commercial|all plans fee schedule · inpatient | $6.9k | $7.8k | $4.7k | 60% | — | $1.8k – $15.4k |
| 15 | Kaiser medicaid|all plans fee schedule · inpatient | $6.9k | $7.8k | $4.7k | 60% | — | $1.8k – $15.4k |
| 16 | Kaiser medicare|all plans fee schedule · inpatient | $6.9k | $7.8k | $4.7k | 60% | — | $1.8k – $15.4k |
| 17 | Anthem medicaid|all plans fee schedule · inpatient | $7.2k | $8.2k | $4.9k | 60% | — | $1.9k – $16.1k |
| 18 | Molina medicaid|all plans fee schedule · inpatient | $7.8k | $8.9k | $5.3k | 60% | — | $2.1k – $17.4k |
| 19 | Cigna commercial|localplus fee schedule · inpatient | $11.9k | $13.6k | $8.2k | 60% | — | $3.2k – $26.8k |
| 20 | Kaiser medicaid|all plans fee schedule · outpatient | $12.2k | $14.0k | $8.4k | 60% | — | $3.3k – $27.5k |
| 21 | Cigna commercial|all other plans fee schedule · inpatient | $15.8k | $18.1k | $10.9k | 60% | — | $4.3k – $35.6k |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $16.1k | $18.4k | $11.1k | 60% | — | $4.3k – $36.2k |
| 23 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $19.4k | $22.2k | $13.3k | 60% | — | $5.2k – $43.6k |
| 24 | First Health commercial|all plans fee schedule · inpatient | $22.4k | $25.6k | $15.4k | 60% | — | $6.0k – $50.3k |
| 25 | First Health commercial|all plans fee schedule · outpatient | $22.4k | $25.6k | $15.4k | 60% | — | $6.0k – $50.3k |
Last updated: Feb 28, 2026
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