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.
Generation details were not recorded for this description.
Original text from hospital filings
NON-COVERED ITEM OR SERVICE
Glendale, CA
Negotiated rates from the hospital’s own file: 10 payers, 19 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 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 2 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 3 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 4 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 12 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 13 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 15 | Medicaid medi-cal fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 16 | Molina molina mcal fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 17 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 18 | Optum optum health mcr adv case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Optum optum health - all other plans case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |