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
NEOX F 25MG 730X-949
Merced, CA
See all hospitals reporting HCPCS Q4155 →Price type
Dignity Health’s median price of $1.4k is 2653% above the median hospital's median price ($50), higher than 89% of the 1,063 hospitals reporting HCPCS Q4155. 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, 24 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 2 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 4 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Cigna commercial|all other plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Cigna commercial|ppo fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Cigna commercial|ppo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Anthem commercial|exchange fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | First Health commercial|all plans fee schedule · inpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | First Health commercial|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Aetna commercial|hmo fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Aetna commercial|ppo fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Anthem commercial|all other plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Anthem commercial|mcs fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Feb 28, 2026
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