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
RL-A-MMA U 83918
Long Beach, CA
See all hospitals reporting CPT 83921 →Price type
Dignity Health’s median price of $21 is 35% below the median hospital's median price ($33), higher than 9% of the 2,621 hospitals reporting CPT 83921. 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, 32 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 medicaid|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $21 | $19 | $2 | 13% | — | $15 – $21 |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 4 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 5 | Cigna medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $21 | $20 | $3 | 14% | — | $15 – $21 |
| 10 | Kaiser medicaid|< 21 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Kaiser medicaid|> 21 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 12 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $24 | $22 | $4 | 19% | — | $15 – $25 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $24 | $22 | $4 | 19% | — | $15 – $25 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $24 | $22 | $4 | 19% | — | $15 – $25 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $24 | $22 | $4 | 19% | — | $15 – $25 |
| 16 | Blue Cross Blue Shield medicare|trauma fee schedule · outpatient | $27 | $25 | $3 | 14% | — | $19 – $27 |
| 17 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $21 | $27 | $23 | 83% | — | $6 – $62 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $27 | $35 | $29 | 83% | — | $7 – $80 |
| 19 | Anthem commercial|exchange fee schedule · outpatient | $32 | $42 | $35 | 83% | — | $9 – $94 |
| 20 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $36 | $47 | $39 | 83% | — | $10 – $106 |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 23 | Kaiser commercial|all plans fee schedule · inpatient | $39 | $50 | $42 | 83% | — | $11 – $114 |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $39 | $50 | $42 | 83% | — | $11 – $114 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $44 | $58 | $48 | 83% | — | $12 – $130 |
Last updated: Feb 28, 2026
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