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
PALINGEN 4X6CM 949X-1234
Gilbert, AZ
See all hospitals reporting HCPCS Q4173 →Price type
Dignity Health’s median price of $2.1k is 506% above the median hospital's median price ($350), higher than 94% of the 955 hospitals reporting HCPCS Q4173. 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 | $447 | $447 | — | — | — | $447 – $447 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 4 | Cigna commercial|ppo fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.9k | $2.1k | $1.0k | 48% | — | $783 – $3.8k |
| 9 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.9k | $2.1k | $1.0k | 48% | — | $783 – $3.8k |
| 10 | Aetna commercial|all other plans fee schedule · outpatient | $2.3k | $2.6k | $1.2k | 48% | — | $950 – $4.6k |
| 11 | Aetna commercial|hmo fee schedule · outpatient | $2.3k | $2.6k | $1.2k | 48% | — | $950 – $4.6k |
| 12 | Aetna commercial|ppo fee schedule · outpatient | $2.3k | $2.6k | $1.2k | 48% | — | $950 – $4.6k |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | First Health commercial|all plans fee schedule · inpatient | $7.4k | $8.1k | $3.9k | 48% | — | $3.0k – $14.6k |
| 15 | First Health commercial|all plans fee schedule · outpatient | $7.4k | $8.1k | $3.9k | 48% | — | $3.0k – $14.6k |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $10.6k | $11.6k | $5.5k | 48% | — | $4.3k – $20.8k |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $10.6k | $11.6k | $5.5k | 48% | — | $4.3k – $20.8k |
Last updated: Feb 28, 2026
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