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
Onc sld orgn tgsa dna 84/+
Glendale, CA
Negotiated rates from the hospital’s own file: 3 payers, 6 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 | Aetna medicare managed care plan facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 2 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 3 | Blue Cross Blue Shield epn exchange facility · fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 4 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 5 | Blue Cross Blue Shield anthem all commercial plans facility · fee schedule · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 6 | Aetna all commercial plans facility · fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |