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-QFT GOLD PL 1TUBE 3017554
Mesa, AZ
See all hospitals reporting CPT 86480 →Price type
Agh Mesa Llc’s median price of $64 is 26% below the median hospital's median price ($86), higher than 23% of the 2,602 hospitals reporting CPT 86480. 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 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | UnitedHealthcare commercial|options fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 5 | WellCare medicare|all plans fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 7 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 9 | MultiPlan commercial|all plans fee schedule · inpatient | $155 | $155 | $54 | 35% | — | $101 – $208 |
| 10 | MultiPlan commercial|all plans fee schedule · outpatient | $155 | $155 | $54 | 35% | — | $101 – $208 |
| 11 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 12 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $302 | $302 | — | — | — | $302 – $302 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $302 | $302 | — | — | — | $302 – $302 |
Last updated: Feb 28, 2026
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