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
RETRV FRAC DVC 2714X-3529
Long Beach, CA
See all hospitals reporting HCPCS C1773 →Price type
Dignity Health’s median price of $1.5k is 39% above the median hospital's median price ($1.0k), higher than 64% of the 1,425 hospitals reporting HCPCS C1773. 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 medicaid|all plans fee schedule · inpatient | $730 | $1.1k | $965 | 90% | — | $150 – $3.5k |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $730 | $1.1k | $965 | 90% | — | $150 – $3.5k |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $840 | $1.2k | $1.1k | 90% | — | $173 – $4.1k |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $840 | $1.2k | $1.1k | 90% | — | $173 – $4.1k |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $1.1k | $1.6k | $1.4k | 90% | — | $225 – $5.3k |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $1.1k | $1.6k | $1.4k | 90% | — | $225 – $5.3k |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $1.2k | $1.8k | $1.6k | 90% | — | $255 – $6.0k |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $1.5k | $2.2k | $2.0k | 90% | — | $308 – $7.2k |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $1.7k | $2.5k | $2.3k | 90% | — | $353 – $8.3k |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $1.8k | $2.7k | $2.4k | 90% | — | $375 – $8.8k |
| 11 | Anthem commercial|mcs fee schedule · outpatient | $1.8k | $2.7k | $2.4k | 90% | — | $375 – $8.8k |
| 12 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.8k | $2.7k | $2.4k | 90% | — | $375 – $8.8k |
| 13 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $1.8k | $2.7k | $2.4k | 90% | — | $375 – $8.8k |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.9k | $2.8k | $2.5k | 90% | — | $390 – $9.2k |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $2.0k | $3.0k | $2.7k | 90% | — | $413 – $9.7k |
| 16 | Aetna commercial|all other plans fee schedule · inpatient | $2.1k | $3.1k | $2.8k | 90% | — | $435 – $10.2k |
| 17 | Aetna commercial|hmo fee schedule · inpatient | $2.1k | $3.1k | $2.8k | 90% | — | $435 – $10.2k |
| 18 | Aetna commercial|ppo fee schedule · inpatient | $2.1k | $3.1k | $2.8k | 90% | — | $435 – $10.2k |
| 19 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $2.4k | $3.5k | $3.1k | 90% | — | $488 – $11.5k |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $2.5k | $3.7k | $3.3k | 90% | — | $510 – $12.0k |
| 21 | Cigna commercial|ppo fee schedule · outpatient | $2.5k | $3.7k | $3.3k | 90% | — | $510 – $12.0k |
| 22 | Kaiser commercial|all plans fee schedule · inpatient | $2.6k | $3.8k | $3.4k | 90% | — | $525 – $12.4k |
| 23 | Kaiser commercial|all plans fee schedule · outpatient | $2.6k | $3.8k | $3.4k | 90% | — | $525 – $12.4k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $2.9k | $4.3k | $3.9k | 90% | — | $600 – $14.1k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $2.9k | $4.3k | $3.9k | 90% | — | $600 – $14.1k |
Last updated: Feb 28, 2026
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