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
DIP-TET-AC PRT 0.5ML<7YIM
Folsom, CA
See all hospitals reporting CPT 90700 →Price type
Dignity Health’s median price of $42 is 26% below the median hospital's median price ($56), higher than 34% of the 1,970 hospitals reporting CPT 90700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 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 | Anthem commercial|connection epo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Anthem commercial|all other plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 4 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 11 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Anthem commercial|mcs fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Kaiser medicaid|all plans fee schedule · outpatient | $52 | $53 | $6 | 12% | — | $45 – $62 |
| 14 | Anthem medicaid|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $58 | $58 | — | — | 4–40 | $58 – $58 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 17 | Molina medicaid|all plans fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 18 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 19 | Cigna commercial|localplus fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 20 | First Health commercial|all plans fee schedule · inpatient | $95 | $96 | $11 | 12% | — | $82 – $113 |
| 21 | First Health commercial|all plans fee schedule · outpatient | $95 | $96 | $11 | 12% | — | $82 – $113 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $100 | $101 | $12 | 12% | — | $86 – $119 |
| 23 | Cigna commercial|all other plans fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $104 | $105 | $12 | 12% | — | $89 – $124 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $104 | $105 | $12 | 12% | — | $89 – $124 |
Last updated: Feb 28, 2026
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