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
MNL PREPINSJ I-ARTIC RX DEV
Merced, CA
See all hospitals reporting CPT 20704 →Price type
Dignity Health’s median price of $125 is 80% below the median hospital's median price ($638), higher than 5% of the 1,227 hospitals reporting CPT 20704. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 7 | Aetna commercial|all other plans case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | Aetna commercial|hmo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 9 | Aetna commercial|ppo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
Last updated: Feb 28, 2026
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