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
S/O IF VARICLLA-ZOSTR AG
Chandler, AZ
See all hospitals reporting CPT 87290 →Price type
Dignity Community Care’s median price of $14 is 11% below the median hospital's median price ($15), higher than 29% of the 1,815 hospitals reporting CPT 87290. 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, 25 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 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Cigna medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | First Health medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 11 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $21 | $21 | $13 | 63% | — | $8 – $34 |
| 12 | Cigna commercial|exchange fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Cigna commercial|localplus surefit fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 14 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $46 | $46 | — | — | 2–20 | $46 – $46 |
| 18 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $61 | $61 | $7 | 11% | — | $54 – $68 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $61 | $61 | $7 | 12% | — | $54 – $68 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $61 | $61 | $7 | 12% | — | $54 – $68 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $61 | $61 | $7 | 12% | — | $54 – $68 |
| 22 | First Health commercial|all plans fee schedule · inpatient | $80 | $80 | $51 | 63% | — | $29 – $130 |
| 23 | First Health commercial|all plans fee schedule · outpatient | $80 | $80 | $51 | 63% | — | $29 – $130 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $124 | $124 | $79 | 63% | — | $45 – $203 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $124 | $124 | $79 | 63% | — | $45 – $203 |
Last updated: Feb 28, 2026
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