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
CONSULT XRAY EXAM REPORT
Gilbert, AZ
See all hospitals reporting CPT 76140 →Price type
Dignity Health’s median price of $58 is 26% below the median hospital's median price ($79), higher than 41% of the 787 hospitals reporting CPT 76140. 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, 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 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 5 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 9 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $75 | $75 | — | — | — | $75 – $75 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Aetna commercial|all other plans fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 14 | Aetna commercial|hmo fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 16 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Feb 28, 2026
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