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
IA GI RT AMP PRB12-25 TRG
Phoenix, AZ
See all hospitals reporting CPT 87507 →Price type
Dignity Health’s median price of $458 is 4% below the median hospital's median price ($480), higher than 46% of the 2,380 hospitals reporting CPT 87507. 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 | $175 | $175 | — | — | — | $175 – $175 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $250 | $250 | — | — | 2–20 | $250 – $250 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 4 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $348 | $348 | $31 | 9% | — | $317 – $380 |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 8 | First Health medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 10 | Optum medicare|optumcare fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 11 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $417 | $417 | — | — | 2–20 | $417 – $417 |
| 12 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 14 | Optum medicare|optumhealth fee schedule · outpatient | $458 | $458 | — | — | 2–20 | $458 – $458 |
| 15 | Optum commercial|optumhealth fee schedule · outpatient | $861 | $861 | $78 | 9% | — | $783 – $939 |
| 16 | Cigna commercial|exchange fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 17 | Cigna commercial|localplus surefit fee schedule · outpatient | $927 | $927 | — | — | — | $927 – $927 |
| 18 | Cigna commercial|lifesource fee schedule · outpatient | $1.0k | $1.0k | $91 | 9% | — | $917 – $1.1k |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | First Health commercial|all plans fee schedule · inpatient | $1.3k | $1.3k | $116 | 9% | — | $1.2k – $1.4k |
| 21 | First Health commercial|all plans fee schedule · outpatient | $1.3k | $1.3k | $116 | 9% | — | $1.2k – $1.4k |
| 22 | Aetna commercial|all plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 24 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | $131 | 9% | — | $1.3k – $1.6k |
Last updated: Feb 28, 2026
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