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
INTEGRA 7X7 2087X-2714
Folsom, CA
See all hospitals reporting HCPCS Q4105 →Price type
Dignity Health’s median price of $10.2k is 7944% above the median hospital's median price ($127), higher than 98% of the 1,343 hospitals reporting HCPCS Q4105. 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, 35 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 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Anthem commercial|all other plans fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Anthem commercial|mcs fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Cigna commercial|localplus fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $6.9k | $8.5k | $5.2k | 61% | — | $3.1k – $15.4k |
| 14 | Kaiser medicaid|all plans fee schedule · inpatient | $6.9k | $8.5k | $5.2k | 61% | — | $3.1k – $15.4k |
| 15 | Kaiser medicare|all plans fee schedule · inpatient | $6.9k | $8.5k | $5.2k | 61% | — | $3.1k – $15.4k |
| 16 | Anthem medicaid|all plans fee schedule · inpatient | $7.2k | $8.8k | $5.4k | 61% | — | $3.3k – $16.1k |
| 17 | Molina medicaid|all plans fee schedule · inpatient | $7.8k | $9.6k | $5.8k | 61% | — | $3.5k – $17.4k |
| 18 | Cigna commercial|localplus fee schedule · inpatient | $11.9k | $14.7k | $9.0k | 61% | — | $5.4k – $26.8k |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $12.2k | $15.1k | $9.2k | 61% | — | $5.6k – $27.5k |
| 20 | Cigna commercial|all other plans fee schedule · inpatient | $15.8k | $19.5k | $11.9k | 61% | — | $7.2k – $35.6k |
| 21 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $20.9k | $25.8k | $15.7k | 61% | — | $9.5k – $47.0k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $22.4k | $27.6k | $16.8k | 61% | — | $10.2k – $50.3k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $22.4k | $27.6k | $16.8k | 61% | — | $10.2k – $50.3k |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $23.6k | $29.1k | $17.7k | 61% | — | $10.7k – $53.0k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $24.5k | $30.2k | $18.4k | 61% | — | $11.1k – $55.0k |
Last updated: Feb 28, 2026
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