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
DERMASPAN1.4X7 2087X-2714
Folsom, CA
See all hospitals reporting HCPCS Q4126 →Price type
Dignity Health’s median price of $4.7k is 3268% above the median hospital's median price ($139), higher than 96% of the 1,135 hospitals reporting HCPCS Q4126. 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 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Anthem commercial|connection epo fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 4 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 5 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 6 | Anthem commercial|all other plans fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Cigna commercial|localplus fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Anthem commercial|mcs fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 11 | Anthem medicaid|all plans fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Kaiser medicaid|all plans fee schedule · inpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | Kaiser medicare|all plans fee schedule · inpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | Anthem medicaid|all plans fee schedule · inpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 17 | Molina medicaid|all plans fee schedule · inpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | Cigna commercial|localplus fee schedule · inpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 20 | Cigna commercial|all other plans fee schedule · inpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 21 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
Last updated: Feb 28, 2026
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