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
HEMOSTATIC GI 2087X-2714
Phoenix, AZ
See all hospitals reporting HCPCS C1052 →Price type
Dignity Health’s median price of $1.0k is 68% below the median hospital's median price ($3.3k), higher than 19% of the 939 hospitals reporting HCPCS C1052. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 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 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 4 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $840 | $647 | $425 | 66% | — | $58 – $1.0k |
| 6 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.1k | $879 | $577 | 66% | — | $78 – $1.4k |
| 7 | Aetna commercial|all plans fee schedule · outpatient | $2.3k | $1.8k | $1.2k | 66% | — | $161 – $2.9k |
| 8 | Optum commercial|optumhealth fee schedule · outpatient | $2.8k | $2.2k | $1.4k | 66% | — | $194 – $3.5k |
| 9 | Cigna commercial|lifesource fee schedule · outpatient | $3.3k | $2.5k | $1.7k | 66% | — | $227 – $4.1k |
| 10 | First Health commercial|all plans fee schedule · inpatient | $4.2k | $3.2k | $2.1k | 66% | — | $288 – $5.2k |
| 11 | First Health commercial|all plans fee schedule · outpatient | $4.2k | $3.2k | $2.1k | 66% | — | $288 – $5.2k |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $4.7k | $3.7k | $2.4k | 66% | — | $325 – $5.9k |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $4.7k | $3.7k | $2.4k | 66% | — | $325 – $5.9k |
Last updated: Feb 28, 2026
See Endoscopic powder system to stop upper GI bleeding pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.