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
RL-A-HEPACUTEQR 3002989
Gilbert, AZ
See all hospitals reporting CPT 80074 →Price type
Dignity Health’s median price of $99 is 25% above the median hospital's median price ($79), higher than 58% of the 2,617 hospitals reporting CPT 80074. 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 | Aetna medicare|all plans fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Cigna medicare|all plans fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | First Health medicare|all plans fee schedule · outpatient | $48 | $48 | — | — | 3–30 | $48 – $48 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $48 | $48 | — | — | 3–30 | $48 – $48 |
| 6 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $57 | $57 | — | — | 3–30 | $57 – $57 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 13 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 14 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $139 | $139 | — | — | 3–30 | $139 – $139 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $139 | $139 | — | — | 3–30 | $139 – $139 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $162 | $162 | — | — | 3–30 | $162 – $162 |
| 18 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $246 | $177 | $107 | 60% | — | $27 – $259 |
| 19 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $241 | $224 | $24 | 11% | 3–30 | $191 – $241 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $242 | $225 | $24 | 11% | — | $191 – $242 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $242 | $225 | $24 | 11% | — | $191 – $242 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $242 | $225 | $24 | 11% | — | $191 – $242 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $950 | $684 | $411 | 60% | — | $103 – $998 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $950 | $684 | $411 | 60% | — | $103 – $998 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $1.4k | $975 | $586 | 60% | — | $147 – $1.4k |
Last updated: Feb 28, 2026
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