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
2062M RL-A-FAS MD 3004781
Phoenix, AZ
See all hospitals reporting CPT 81422 →Price type
Dignity Health’s median price of $759 is 4% below the median hospital's median price ($794), higher than 16% of the 1,508 hospitals reporting CPT 81422. 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, 27 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 | $209 | $209 | — | — | — | $209 – $209 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 5 | Optum commercial|optumhealth fee schedule · outpatient | $517 | $517 | — | — | — | $517 – $517 |
| 6 | Cigna commercial|lifesource fee schedule · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 8 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 9 | Cigna medicare|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 10 | First Health medicare|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 11 | Humana medicare|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 12 | Optum medicare|optumcare fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 13 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 14 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $770 | $770 | — | — | — | $770 – $770 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $770 | $770 | — | — | — | $770 – $770 |
| 17 | Optum medicare|optumhealth fee schedule · outpatient | $835 | $835 | — | — | — | $835 – $835 |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $869 | $869 | — | — | — | $869 – $869 |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 20 | Aetna commercial|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Cigna commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Feb 28, 2026
See Fetal DNA test for chromosome microdeletions in maternal blood pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.