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
PERMACOL 10X15 2714X-3529
Long Beach, CA
See all hospitals reporting HCPCS C9364 →Price type
Dignity Health’s median price of $4.1k is 6224% above the median hospital's median price ($64), higher than 70% of the 805 hospitals reporting HCPCS C9364. 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, 28 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 | Molina medicaid|all plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Kaiser medicaid|< 21 fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Kaiser medicaid|> 21 fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Anthem commercial|exchange fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Anthem commercial|all other plans fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Anthem commercial|mcs fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 8 | Anthem medicaid|all plans fee schedule · inpatient | $4.6k | $6.1k | $4.9k | 80% | — | $561 – $16.2k |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $4.6k | $6.1k | $4.9k | 80% | — | $561 – $16.2k |
| 10 | Molina medicaid|all plans fee schedule · inpatient | $5.3k | $7.0k | $5.6k | 80% | — | $645 – $18.7k |
| 11 | Cigna commercial|all other plans fee schedule · inpatient | $6.9k | $9.2k | $7.3k | 80% | — | $842 – $24.4k |
| 12 | Cigna commercial|ppo fee schedule · inpatient | $6.9k | $9.2k | $7.3k | 80% | — | $842 – $24.4k |
| 13 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $9.4k | $12.6k | $10.0k | 80% | — | $1.2k – $33.3k |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $10.8k | $14.4k | $11.5k | 80% | — | $1.3k – $38.2k |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $11.5k | $15.3k | $12.2k | 80% | — | $1.4k – $40.6k |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $11.5k | $15.3k | $12.2k | 80% | — | $1.4k – $40.6k |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $11.9k | $15.9k | $12.7k | 80% | — | $1.5k – $42.2k |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $12.6k | $16.9k | $13.4k | 80% | — | $1.5k – $44.7k |
| 19 | Aetna commercial|all other plans fee schedule · inpatient | $13.3k | $17.8k | $14.1k | 80% | — | $1.6k – $47.1k |
| 20 | Aetna commercial|hmo fee schedule · inpatient | $13.3k | $17.8k | $14.1k | 80% | — | $1.6k – $47.1k |
| 21 | Aetna commercial|ppo fee schedule · inpatient | $13.3k | $17.8k | $14.1k | 80% | — | $1.6k – $47.1k |
| 22 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $14.9k | $19.9k | $15.8k | 80% | — | $1.8k – $52.8k |
| 23 | Cigna commercial|all other plans fee schedule · outpatient | $15.6k | $20.8k | $16.6k | 80% | — | $1.9k – $55.2k |
| 24 | Cigna commercial|ppo fee schedule · outpatient | $15.6k | $20.8k | $16.6k | 80% | — | $1.9k – $55.2k |
| 25 | Kaiser commercial|all plans fee schedule · inpatient | $16.1k | $21.4k | $17.1k | 80% | — | $2.0k – $56.8k |
Last updated: Feb 28, 2026
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