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
INSJ STABLJ DEV W/O DCMPRN
Mesa, AZ
See all hospitals reporting CPT 22869 →Price type
Agh Mesa Llc’s median price of $9.1k is 29% below the median hospital's median price ($12.8k), higher than 31% of the 1,495 hospitals reporting CPT 22869. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 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 medicaid|all plans fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 2 | Aetna commercial|all other plans case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Aetna commercial|ppo case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 5 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 9 | UnitedHealthcare commercial|options fee schedule · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 11 | WellCare medicare|all plans fee schedule · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 12 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
Last updated: Feb 28, 2026
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