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-HFE PCR 55656
Gilbert, AZ
See all hospitals reporting CPT 81256 →Price type
Dignity Health’s median price of $78 is 17% below the median hospital's median price ($95), higher than 42% of the 2,490 hospitals reporting CPT 81256. 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 commercial|dignityhealthemployee fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 7 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 11 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Cigna commercial|exchange fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $141 | $141 | — | — | — | $141 – $141 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 16 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 17 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $201 | $201 | — | — | — | $201 – $201 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 23 | Aetna commercial|all other plans fee schedule · outpatient | $261 | $261 | — | — | 1–10 | $261 – $261 |
| 24 | Aetna commercial|hmo fee schedule · outpatient | $261 | $261 | — | — | 1–10 | $261 – $261 |
| 25 | Aetna commercial|ppo fee schedule · outpatient | $261 | $261 | — | — | 1–10 | $261 – $261 |
Last updated: Feb 28, 2026
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