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
H-CYSTC FIBRSI PNL8057
Merced, CA
See all hospitals reporting CPT 81220 →Price type
Dignity Health’s median price of $130 is 77% below the median hospital's median price ($573), higher than 3% of the 2,335 hospitals reporting CPT 81220. 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 | Cigna commercial|all other plans fee schedule · inpatient | $108 | $108 | $23 | 21% | — | $85 – $131 |
| 2 | Cigna commercial|all other plans fee schedule · outpatient | $108 | $108 | $23 | 21% | — | $85 – $131 |
| 3 | Cigna commercial|ppo fee schedule · inpatient | $108 | $108 | $23 | 21% | — | $85 – $131 |
| 4 | Cigna commercial|ppo fee schedule · outpatient | $108 | $108 | $23 | 21% | — | $85 – $131 |
| 5 | Anthem commercial|exchange fee schedule · outpatient | $113 | $113 | $24 | 21% | 2–20 | $88 – $137 |
| 6 | Kaiser commercial|all plans fee schedule · inpatient | $114 | $114 | $25 | 21% | — | $90 – $139 |
| 7 | Kaiser commercial|all plans fee schedule · outpatient | $114 | $114 | $25 | 21% | — | $90 – $139 |
| 8 | First Health commercial|all plans fee schedule · inpatient | $132 | $132 | $28 | 21% | — | $104 – $161 |
| 9 | First Health commercial|all plans fee schedule · outpatient | $132 | $132 | $28 | 21% | — | $104 – $161 |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $147 | $147 | $32 | 21% | 2–20 | $116 – $179 |
| 11 | Kaiser medicaid|< 21 fee schedule · outpatient | $155 | $155 | $25 | 16% | — | $130 – $180 |
| 12 | Kaiser medicaid|> 21 fee schedule · outpatient | $155 | $155 | $25 | 16% | — | $130 – $180 |
| 13 | Molina medicaid|< 21 fee schedule · outpatient | $155 | $155 | $25 | 16% | — | $130 – $180 |
| 14 | Molina medicaid|> 21 fee schedule · outpatient | $155 | $155 | $25 | 16% | — | $130 – $180 |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $156 | $156 | $33 | 21% | — | $122 – $189 |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $156 | $156 | $33 | 21% | — | $122 – $189 |
| 17 | Aetna commercial|all other plans fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 18 | Aetna commercial|hmo fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 20 | Aetna medicare|all plans fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 21 | Anthem commercial|mcs fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 22 | Anthem medicaid|< 21 fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 23 | Anthem medicaid|> 21 fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 24 | Anthem medicare|all plans fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
| 25 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $166 | $166 | $36 | 21% | — | $130 – $201 |
Last updated: Feb 28, 2026
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