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-RFLX PCP SP 2010460
Gilbert, AZ
See all hospitals reporting HCPCS G0480 →Price type
Dignity Health’s median price of $117 is 2% below the median hospital's median price ($120), higher than 42% of the 2,084 hospitals reporting HCPCS G0480. 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 | $30 | $41 | $33 | 80% | — | $8 – $140 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $114 | $110 | $12 | 11% | — | $60 – $114 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $114 | $110 | $12 | 11% | — | $60 – $114 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $114 | $110 | $12 | 11% | — | $60 – $114 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $114 | $110 | $12 | 11% | — | $60 – $114 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $114 | $110 | $12 | 11% | — | $60 – $114 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $117 | $113 | $12 | 11% | — | $61 – $117 |
| 8 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $137 | $129 | $19 | 15% | — | $60 – $137 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $137 | $129 | $19 | 15% | — | $60 – $137 |
| 11 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $137 | $129 | $19 | 15% | — | $60 – $137 |
| 12 | First Health commercial|all plans fee schedule · inpatient | $116 | $160 | $128 | 80% | — | $32 – $540 |
| 13 | First Health commercial|all plans fee schedule · outpatient | $116 | $160 | $128 | 80% | — | $32 – $540 |
| 14 | Cigna commercial|exchange fee schedule · outpatient | $215 | $185 | $58 | 31% | — | $60 – $238 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $215 | $190 | $64 | 33% | 35–350 | $60 – $254 |
| 16 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $215 | $203 | $77 | 38% | — | $60 – $292 |
| 17 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $215 | $203 | $77 | 38% | — | $60 – $292 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $215 | $216 | $93 | 43% | 35–350 | $60 – $335 |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $215 | $216 | $93 | 43% | 35–350 | $60 – $335 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $166 | $228 | $183 | 80% | — | $46 – $770 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $166 | $228 | $183 | 80% | — | $46 – $770 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $215 | $231 | $113 | 49% | 35–350 | $60 – $390 |
| 23 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $215 | $266 | $169 | 63% | — | $60 – $579 |
| 24 | Aetna commercial|all other plans fee schedule · outpatient | $215 | $266 | $169 | 63% | — | $60 – $581 |
| 25 | Aetna commercial|hmo fee schedule · outpatient | $215 | $266 | $169 | 63% | — | $60 – $581 |
Last updated: Feb 28, 2026
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