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-BCELL SCRN 2006193B
Gilbert, AZ
See all hospitals reporting CPT 81264 →Price type
Dignity Health’s median price of $207 is 11% above the median hospital's median price ($187), higher than 55% of the 1,876 hospitals reporting CPT 81264. 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 | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 7 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 11 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 12 | Cigna commercial|exchange fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $373 | $373 | — | — | — | $373 – $373 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 16 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 17 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $505 | $505 | — | — | 1–10 | $505 – $505 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $505 | $505 | — | — | 1–10 | $505 – $505 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $532 | $532 | — | — | — | $532 – $532 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $666 | $666 | — | — | — | $666 – $666 |
| 23 | Aetna commercial|all other plans fee schedule · outpatient | $691 | $691 | — | — | — | $691 – $691 |
| 24 | Aetna commercial|hmo fee schedule · outpatient | $691 | $691 | — | — | — | $691 – $691 |
| 25 | Aetna commercial|ppo fee schedule · outpatient | $691 | $691 | — | — | — | $691 – $691 |
Last updated: Feb 28, 2026
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