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-TOF SCR CD 2006621
Phoenix, AZ
See all hospitals reporting HCPCS G0482 →Price type
Dignity Health’s median price of $219 is 5% above the median hospital's median price ($209), higher than 62% of the 1,572 hospitals reporting HCPCS G0482. 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 | $83 | $83 | — | — | — | $83 – $83 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 8 | First Health medicare|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 10 | Optum medicare|optumcare fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 11 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 12 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 14 | Optum medicare|optumhealth fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 15 | Optum commercial|optumhealth fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 16 | Cigna commercial|lifesource fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $329 | $329 | — | — | — | $329 – $329 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $329 | $329 | — | — | — | $329 – $329 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $371 | $371 | — | — | — | $371 – $371 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 21 | Cigna commercial|exchange fee schedule · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 22 | Cigna commercial|localplus surefit fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
| 23 | Aetna commercial|all plans fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 25 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
Last updated: Feb 28, 2026
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