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
RHC EX BEN LES S/N/H<=0.5
Merced, CA
See all hospitals reporting CPT 11420 →Price type
Dignity Health’s median price of $200 is 88% below the median hospital's median price ($1.7k), higher than 13% of the 2,291 hospitals reporting CPT 11420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $163 | $163 | — | — | — | $163 – $163 |
| 8 | Cigna commercial|all other plans fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 9 | Cigna commercial|ppo fee schedule · inpatient | $163 | $163 | — | — | — | $163 – $163 |
| 10 | Cigna commercial|ppo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $200 | $200 | — | — | — | $200 – $200 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $235 | $235 | — | — | — | $235 – $235 |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 18 | Aetna medicare|all plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 19 | Anthem medicare|all plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 20 | Humana medicare|all plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 21 | Kaiser medicare|all plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 23 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 24 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 25 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Feb 28, 2026
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