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
INSERT SELF-CONTD PROSTHESIS
Folsom, CA
See all hospitals reporting CPT 54401 →Price type
Dignity Health’s median price of $10.6k is 45% below the median hospital's median price ($19.2k), higher than 35% of the 1,484 hospitals reporting CPT 54401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 3 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 5 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 6 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 7 | Aetna commercial|all other plans case rate · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 8 | Aetna commercial|hmo case rate · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 9 | Aetna commercial|ppo case rate · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 10 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 11 | Anthem commercial|connection epo case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 12 | Anthem commercial|all other plans case rate · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 13 | Anthem commercial|mcs case rate · outpatient | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 14 | Anthem medicare|all other plans fee schedule · outpatient | $24.9k | $24.9k | — | — | — | $24.9k – $24.9k |
| 15 | Aetna medicare|all plans fee schedule · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 16 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 17 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 18 | Humana commercial|all plans fee schedule · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 19 | Kaiser medicare|all plans case rate · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 20 | UnitedHealthcare medicare|all plans case rate · outpatient | $26.5k | $26.5k | — | — | — | $26.5k – $26.5k |
| 21 | Anthem medicare|imperial fee schedule · outpatient | $27.2k | $27.2k | — | — | — | $27.2k – $27.2k |
Last updated: Feb 28, 2026
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