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
ENDO RETRO DVC 254X-331
Gilbert, AZ
See all hospitals reporting HCPCS C1749 →Price type
Dignity Health’s median price of $1.1k is 191% above the median hospital's median price ($378), higher than 78% of the 161 hospitals reporting HCPCS C1749. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 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 | $355 | $355 | — | — | — | $355 – $355 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 3 | Aetna commercial|all other plans fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 4 | Aetna commercial|hmo fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 5 | Aetna commercial|ppo fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | First Health commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | First Health commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Feb 28, 2026
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