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
GRAFIX P 3X4CM 949X-1234
Chandler, AZ
See all hospitals reporting HCPCS Q4133 →Price type
Dignity Community Care’s median price of $662 is 155% above the median hospital's median price ($260), higher than 76% of the 1,822 hospitals reporting HCPCS Q4133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 | Cigna commercial|exchange fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 4 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $549 | $537 | $29 | 5% | — | $465 – $549 |
| 5 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $549 | $537 | $29 | 5% | — | $465 – $549 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $732 | $694 | $94 | 13% | 7–70 | $465 – $732 |
| 7 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $1.1k | $956 | $225 | 24% | — | $465 – $1.1k |
| 8 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.3k | $1.3k | $1.0k | 81% | — | $65 – $2.9k |
| 9 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.3k | $1.3k | $1.0k | 81% | — | $65 – $2.9k |
| 10 | Aetna commercial|all other plans fee schedule · outpatient | $1.6k | $1.5k | $1.2k | 81% | — | $79 – $3.5k |
| 11 | Aetna commercial|hmo fee schedule · outpatient | $1.6k | $1.5k | $1.2k | 81% | — | $79 – $3.5k |
| 12 | Aetna commercial|ppo fee schedule · outpatient | $1.6k | $1.5k | $1.2k | 81% | — | $79 – $3.5k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $5.1k | $4.9k | $3.9k | 81% | — | $251 – $11.2k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $5.1k | $4.9k | $3.9k | 81% | — | $251 – $11.2k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $7.9k | $7.6k | $6.1k | 81% | — | $391 – $17.5k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $7.9k | $7.6k | $6.1k | 81% | — | $391 – $17.5k |
Last updated: Feb 28, 2026
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