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
RL-A-HFE 3 MUTATIONS 55656
Mesa, AZ
See all hospitals reporting CPT 81256 →Price type
Agh Mesa Llc’s median price of $67 is 29% below the median hospital's median price ($95), higher than 23% of the 2,490 hospitals reporting CPT 81256. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 3 | UnitedHealthcare commercial|options fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 5 | WellCare medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 7 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 9 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 10 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $239 | $239 | — | — | — | $239 – $239 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
Last updated: Feb 28, 2026
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