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-PHOS 20028
Gilbert, AZ
See all hospitals reporting CPT 84100 →Price type
Dignity Health’s median price of $8 is 18% below the median hospital's median price ($9), higher than 43% of the 2,666 hospitals reporting CPT 84100. 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Cigna medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | First Health medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | 50 | $5 – $5 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | 50 | $5 – $5 |
| 6 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6 | $6 | — | — | 55 | $6 – $6 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $10 | $10 | — | — | 2–20 | $10 – $10 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $11 | $11 | — | — | 2–20 | $11 – $11 |
| 13 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 14 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $14 | $14 | — | — | 63 | $14 – $14 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $14 | $14 | — | — | 63 | $14 – $14 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $16 | $16 | — | — | 185 | $16 – $16 |
| 18 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $16 | $16 | $14 | 84% | — | $3 – $30 |
| 19 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $21 | $21 | $2 | 12% | — | $19 – $24 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $22 | $22 | $3 | 12% | 16 | $19 – $24 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $22 | $22 | $3 | 12% | 16 | $19 – $24 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $22 | $22 | $3 | 12% | 16 | $19 – $24 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $63 | $63 | $52 | 84% | — | $10 – $115 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $63 | $63 | $52 | 84% | — | $10 – $115 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $89 | $89 | $75 | 84% | — | $15 – $164 |
Last updated: Feb 28, 2026
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