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
XR HIP W WO PELV 2VWS BIL
Gilbert, AZ
See all hospitals reporting CPT 73521 →Price type
Dignity Health’s median price of $124 is 17% below the median hospital's median price ($149), higher than 38% of the 2,580 hospitals reporting CPT 73521. 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, 26 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 medicaid|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $88 | $88 | $38 | 43% | — | $50 – $126 |
| 3 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | First Health medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 10 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $122 | $122 | — | — | 2–20 | $122 – $122 |
| 12 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 13 | Cigna commercial|exchange fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 15 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 17 | Cigna commercial|localplus surefit fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 18 | Aetna commercial|all other plans fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 19 | Aetna commercial|hmo fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 20 | Aetna commercial|ppo fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $328 | $328 | — | — | 2–20 | $328 – $328 |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $328 | $328 | — | — | 2–20 | $328 – $328 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $340 | $340 | $146 | 43% | — | $194 – $486 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $340 | $340 | $146 | 43% | — | $194 – $486 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $485 | $485 | $208 | 43% | — | $277 – $693 |
Last updated: Feb 28, 2026
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