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
INTERFYL 100MG 949X-1234
Folsom, CA
See all hospitals reporting HCPCS Q4171 →Price type
Dignity Health’s median price of $2.1k is 9115% above the median hospital's median price ($23), higher than 94% of the 987 hospitals reporting HCPCS Q4171. 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 4 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Cigna commercial|localplus fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Anthem commercial|connection epo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Cigna commercial|all other plans fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Anthem commercial|all other plans fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Anthem commercial|mcs fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 12 | Kaiser commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Kaiser medicaid|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Kaiser medicare|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Anthem medicaid|all plans fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Anthem medicaid|all plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Molina medicaid|all plans fee schedule · inpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Cigna commercial|localplus fee schedule · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Cigna commercial|all other plans fee schedule · inpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 21 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Feb 28, 2026
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