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
RL-A-QFT PLUS 3017554
Phoenix, AZ
See all hospitals reporting CPT 86480 →Price type
Dignity Health’s median price of $62 is 28% below the median hospital's median price ($86), higher than 9% of the 2,640 hospitals reporting CPT 86480. 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 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $37 | $37 | $1 | 2% | 3–30 | $36 – $37 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $37 | $37 | $1 | 2% | — | $36 – $37 |
| 4 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $47 | $41 | $26 | 63% | — | $7 – $69 |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 8 | First Health medicare|all plans fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 10 | Optum medicare|optumcare fee schedule · outpatient | $62 | $53 | $12 | 23% | 3–30 | $36 – $62 |
| 11 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $62 | $53 | $12 | 23% | 3–30 | $36 – $62 |
| 12 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $62 | $53 | $12 | 23% | — | $36 – $62 |
| 13 | Optum medicare|optumhealth fee schedule · outpatient | $68 | $59 | $13 | 23% | 3–30 | $40 – $68 |
| 14 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 15 | Cigna commercial|exchange fee schedule · outpatient | $129 | $98 | $44 | 45% | — | $36 – $129 |
| 16 | Optum commercial|optumhealth fee schedule · outpatient | $117 | $102 | $64 | 63% | — | $17 – $171 |
| 17 | Cigna commercial|localplus surefit fee schedule · outpatient | $138 | $104 | $48 | 46% | — | $36 – $138 |
| 18 | Cigna commercial|lifesource fee schedule · outpatient | $136 | $119 | $75 | 63% | — | $20 – $200 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $181 | $133 | $69 | 52% | 3–30 | $36 – $181 |
| 20 | Aetna commercial|all plans fee schedule · outpatient | $195 | $142 | $75 | 53% | 3–30 | $36 – $195 |
| 21 | First Health commercial|all plans fee schedule · inpatient | $174 | $151 | $95 | 63% | — | $25 – $255 |
| 22 | First Health commercial|all plans fee schedule · outpatient | $174 | $151 | $95 | 63% | — | $25 – $255 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $196 | $171 | $107 | 63% | — | $28 – $288 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $196 | $171 | $107 | 63% | — | $28 – $288 |
| 25 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $248 | $187 | $108 | 57% | 3–30 | $36 – $278 |
Last updated: Feb 28, 2026
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