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
INTRO NON GD/EP/LASER LVL 04
Apache Junction, AZ
See all hospitals reporting HCPCS C1894 →Price type
Banner Goldfield Medical Center’s median price of $555 is 184% above the median hospital's median price ($196), higher than 87% of the 1,666 hospitals reporting HCPCS C1894. 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, 20 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 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $111.70 | $111.70 | $111.70 – $111.70 |
| 2 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $119.14 | $119.14 | $119.14 – $119.14 |
| 3 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $125.10 | $125.10 | $125.10 – $125.10 |
| 4 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $148.93 | $148.93 | $148.93 – $148.93 |
| 5 | Bcbs Az commercial facility · fee schedule · outpatient | $148.93 | $148.93 | $148.93 – $148.93 |
| 6 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $148.93 | $148.93 | $148.93 – $148.93 |
| 7 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $431.40 | $566.25 | $19.20 – $1,575 |
| 8 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $547.88 | $719.14 | $24.38 – $2,001 |
| 9 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $724.75 | $951.30 | $32.26 – $2,646 |
| 10 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $996.54 | $1,308 | $44.35 – $3,639 |
| 11 | UnitedHealthcare uhc doctor's plan facility · percent of total billed charges · outpatientfrom % of charges | $1,046 | $1,373 | $46.56 – $3,820 |
| 12 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $1,059 | $1,390 | $47.14 – $3,867 |
| 13 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,079 | $1,416 | $48.00 – $3,938 |
| 14 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1,094 | $1,435 | $48.67 – $3,993 |
| 15 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1,137 | $1,492 | $50.59 – $4,151 |
| 16 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,137 | $1,492 | $50.59 – $4,151 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,152 | $1,512 | $51.26 – $4,206 |
| 18 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1,245 | $1,634 | $55.39 – $4,544 |
| 19 | Cigna localflex facility · percent of total billed charges · outpatientfrom % of charges | $1,417 | $1,860 | $63.07 – $5,175 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,482 | $1,945 | $65.95 – $5,411 |
Last updated: Mar 2, 2026
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