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
1483E RL-A-VPA-F 99310
Phoenix, AZ
See all hospitals reporting CPT 80164 →Price type
Dignity Health’s median price of $20 is 17% below the median hospital's median price ($24), higher than 41% of the 2,666 hospitals reporting CPT 80164. 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|navigate fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Cigna medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | First Health medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Optum medicare|optumcare fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 11 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 12 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Optum medicare|optumhealth fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Cigna commercial|exchange fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 16 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $39 | $39 | $28 | 73% | — | $10 – $67 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 18 | Aetna commercial|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 19 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $58 | $58 | $4 | 7% | 2–20 | $54 – $62 |
| 22 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $73 | $73 | $19 | 26% | — | $54 – $92 |
| 23 | Optum commercial|optumhealth fee schedule · outpatient | $95 | $95 | $70 | 73% | — | $25 – $165 |
| 24 | Cigna commercial|lifesource fee schedule · outpatient | $112 | $112 | $82 | 73% | — | $30 – $194 |
| 25 | First Health commercial|all plans fee schedule · inpatient | $142 | $142 | $104 | 73% | — | $38 – $246 |
Last updated: Feb 28, 2026
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