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
BEVA-BVZR400MG/16MLSDJWTB
Gilbert, AZ
See all hospitals reporting HCPCS Q5118 →Price type
Dignity Health’s median price of $36 is 42% below the median hospital's median price ($62), higher than 31% of the 1,689 hospitals reporting HCPCS Q5118. 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 medicaid|all plans fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 15 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 16 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 22 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 23 | First Health commercial|all plans fee schedule · inpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 24 | First Health commercial|all plans fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $19.3k | $19.3k | — | — | — | $19.3k – $19.3k |
Last updated: Feb 28, 2026
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