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-MMA QNT-P 99431
Gilbert, AZ
See all hospitals reporting CPT 83921 →Price type
Dignity Health’s median price of $35 is 7% above the median hospital's median price ($32), higher than 53% of the 2,590 hospitals reporting CPT 83921. 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 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Cigna medicare|all plans fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | First Health medicare|all plans fee schedule · outpatient | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 6 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 13 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $54 | $54 | $42 | 78% | — | $12 – $96 |
| 14 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $72 | $72 | — | — | 2–20 | $72 – $72 |
| 19 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $96 | $96 | $11 | 12% | — | $85 – $107 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $96 | $96 | $11 | 12% | 2–20 | $85 – $108 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $96 | $96 | $11 | 12% | 2–20 | $85 – $108 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $96 | $96 | $11 | 12% | 2–20 | $85 – $108 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $208 | $208 | $162 | 78% | — | $46 – $369 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $208 | $208 | $162 | 78% | — | $46 – $369 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $296 | $296 | $231 | 78% | — | $65 – $527 |
Last updated: Feb 28, 2026
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