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
INTERFYL 1.5ML 1605X-2087
Gilbert, AZ
See all hospitals reporting HCPCS Q4171 →Price type
Dignity Health’s median price of $2.7k is 11669% above the median hospital's median price ($23), higher than 94% of the 983 hospitals reporting HCPCS Q4171. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 | Cigna commercial|exchange fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Cigna commercial|ppo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $2.6k | $2.6k | $336 | 13% | — | $2.2k – $2.9k |
| 10 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $2.6k | $2.6k | $336 | 13% | — | $2.2k – $2.9k |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $3.1k | $3.1k | $408 | 13% | — | $2.7k – $3.5k |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $3.1k | $3.1k | $408 | 13% | — | $2.7k – $3.5k |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $3.1k | $3.1k | $408 | 13% | — | $2.7k – $3.5k |
| 14 | First Health commercial|all plans fee schedule · inpatient | $9.9k | $9.9k | $1.3k | 13% | — | $8.6k – $11.2k |
| 15 | First Health commercial|all plans fee schedule · outpatient | $9.9k | $9.9k | $1.3k | 13% | — | $8.6k – $11.2k |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $14.2k | $14.2k | $1.8k | 13% | — | $12.3k – $16.0k |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $14.2k | $14.2k | $1.8k | 13% | — | $12.3k – $16.0k |
Last updated: Feb 28, 2026
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