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-4KSCORE 2014059
Gilbert, AZ
See all hospitals reporting CPT 81539 →Price type
Dignity Health’s median price of $1.6k is 98% above the median hospital's median price ($798), higher than 92% of the 1,459 hospitals reporting CPT 81539. 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, 25 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 | $426 | $426 | — | — | — | $426 – $426 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $779 | $779 | — | — | — | $779 – $779 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | First Health commercial|all plans fee schedule · inpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | First Health commercial|all plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Cigna commercial|localplus surefit fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Aetna commercial|all other plans fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 23 | Aetna commercial|hmo fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 24 | Aetna commercial|ppo fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: Feb 28, 2026
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