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
XR AORTOGRM ABD W ILIOFEM
Merced, CA
See all hospitals reporting CPT 75630 →Price type
Dignity Health’s median price of $3.6k is 12% above the median hospital's median price ($3.3k), higher than 64% of the 2,137 hospitals reporting CPT 75630. 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 | $204 | $204 | — | — | — | $204 – $204 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 7 | Aetna commercial|all other plans fee schedule · outpatient | $949 | $949 | — | — | — | $949 – $949 |
| 8 | Aetna commercial|hmo fee schedule · outpatient | $949 | $949 | — | — | — | $949 – $949 |
| 9 | Aetna commercial|ppo fee schedule · outpatient | $949 | $949 | — | — | — | $949 – $949 |
| 10 | Anthem commercial|exchange fee schedule · outpatient | $3.3k | $3.3k | $651 | 20% | — | $2.7k – $4.0k |
| 11 | Aetna medicare|all plans fee schedule · outpatient | $4.0k | $4.0k | $23 | 1% | — | $4.0k – $4.0k |
| 12 | Anthem medicare|all plans fee schedule · outpatient | $4.0k | $4.0k | $23 | 1% | — | $4.0k – $4.0k |
| 13 | Humana medicare|all plans fee schedule · outpatient | $4.0k | $4.0k | $23 | 1% | — | $4.0k – $4.0k |
| 14 | Kaiser medicare|all plans fee schedule · outpatient | $4.0k | $4.0k | $23 | 1% | — | $4.0k – $4.0k |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $4.0k | $4.0k | $1.4k | 35% | — | $2.6k – $5.4k |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $4.0k | $4.0k | $1.4k | 35% | — | $2.6k – $5.4k |
| 17 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | UnitedHealthcare medicare|all plans case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Kaiser commercial|all plans fee schedule · outpatient | $4.2k | $4.2k | $1.5k | 35% | — | $2.7k – $5.7k |
| 20 | Anthem commercial|all other plans fee schedule · outpatient | $4.4k | $4.4k | $866 | 20% | — | $3.5k – $5.3k |
| 21 | First Health commercial|all plans fee schedule · outpatient | $4.9k | $4.9k | $1.7k | 35% | — | $3.2k – $6.6k |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $5.2k | $5.2k | $1.2k | 24% | — | $4.0k – $6.4k |
| 23 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $5.2k | $5.2k | $1.2k | 24% | — | $4.0k – $6.4k |
| 24 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $5.2k | $5.2k | $1.2k | 24% | — | $4.0k – $6.4k |
| 25 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $5.2k | $5.2k | $1.2k | 24% | — | $4.0k – $6.4k |
Last updated: Feb 28, 2026
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