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
SKIN SUB FDA 5965X-7755
San Bernardino, CA
See all hospitals reporting HCPCS A4100 →Price type
Dignity Health’s median price of $6.5k is 3002% above the median hospital's median price ($210), higher than 95% of the 502 hospitals reporting HCPCS A4100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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|all plans fee schedule · inpatient | $3.1k | $3.8k | $2.4k | 64% | — | $1.2k – $7.8k |
| 2 | Kaiser medicaid|all plans fee schedule · outpatient | $3.1k | $3.8k | $2.4k | 64% | — | $1.2k – $7.8k |
| 3 | Molina medicaid|< 21 fee schedule · inpatient | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 5 | Molina medicaid|> 21 fee schedule · inpatient | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $3.9k | $4.8k | $3.0k | 64% | — | $1.5k – $9.7k |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $3.9k | $4.8k | $3.0k | 64% | — | $1.5k – $9.7k |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $4.7k | $5.7k | $3.6k | 64% | — | $1.9k – $11.6k |
| 10 | Kaiser commercial|all plans fee schedule · inpatient | $4.7k | $5.7k | $3.6k | 64% | — | $1.9k – $11.6k |
| 11 | Kaiser commercial|all plans fee schedule · outpatient | $4.7k | $5.7k | $3.6k | 64% | — | $1.9k – $11.6k |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $5.3k | $6.5k | $4.1k | 64% | — | $2.1k – $13.2k |
| 13 | Aetna commercial|gatekeeper fee schedule · inpatient | $5.9k | $7.2k | $4.6k | 64% | — | $2.3k – $14.7k |
| 14 | Anthem commercial|non-mcs hmo fee schedule · outpatient | $6.4k | $7.8k | $5.0k | 64% | — | $2.5k – $15.9k |
| 15 | Anthem commercial|mcs fee schedule · outpatient | $6.7k | $8.2k | $5.2k | 64% | — | $2.7k – $16.7k |
| 16 | Anthem commercial|non-mcs ppo fee schedule · outpatient | $6.7k | $8.2k | $5.2k | 64% | — | $2.7k – $16.7k |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $6.9k | $8.4k | $5.3k | 64% | — | $2.7k – $17.1k |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $6.9k | $8.4k | $5.3k | 64% | — | $2.7k – $17.1k |
| 19 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $7.2k | $8.8k | $5.6k | 64% | — | $2.8k – $17.8k |
| 20 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $8.1k | $9.9k | $6.3k | 64% | — | $3.2k – $20.2k |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $8.6k | $10.5k | $6.7k | 64% | — | $3.4k – $21.3k |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $8.6k | $10.5k | $6.7k | 64% | — | $3.4k – $21.3k |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $9.1k | $11.0k | $7.0k | 64% | — | $3.6k – $22.5k |
| 24 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $9.5k | $11.6k | $7.4k | 64% | — | $3.8k – $23.7k |
| 25 | First Health commercial|all plans fee schedule · inpatient | $10.3k | $12.6k | $8.0k | 64% | — | $4.1k – $25.6k |
Last updated: Feb 28, 2026
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