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
HDR INTERSTITIAL 2-12CHAN
Phoenix, AZ
See all hospitals reporting CPT 77771 →Price type
Dignity Health’s median price of $1.3k is 32% above the median hospital's median price ($978), higher than 62% of the 1,563 hospitals reporting CPT 77771. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | $457 | $457 | — | — | — | $457 – $457 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 3 | UnitedHealthcare medicare|dual complete case rate · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 6 | Cigna medicare|all plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 7 | First Health medicare|all plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 9 | Optum medicare|optumcare fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 10 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 11 | Optum medicare|optumhealth fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 12 | Optum commercial|optumhealth fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 14 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Cigna commercial|lifesource fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Cigna commercial|exchange fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | First Health commercial|all plans fee schedule · inpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | First Health commercial|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Cigna commercial|localplus surefit fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Cigna commercial|all other plans fee schedule · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 24 | Aetna commercial|all plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | 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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