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
INTEGRA 4X10 3529X-4588
Phoenix, AZ
See all hospitals reporting HCPCS Q4105 →Price type
Dignity Health’s median price of $4.3k is 3324% above the median hospital's median price ($127), higher than 95% of the 1,343 hospitals reporting HCPCS Q4105. 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, 16 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 | Cigna commercial|exchange fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 3 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 8 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.7k | $1.7k | $223 | 13% | — | $1.5k – $1.9k |
| 10 | Aetna commercial|all plans fee schedule · outpatient | $3.5k | $3.5k | $457 | 13% | — | $3.0k – $4.0k |
| 11 | Optum commercial|optumhealth fee schedule · outpatient | $4.2k | $4.2k | $551 | 13% | — | $3.7k – $4.8k |
| 12 | Cigna commercial|lifesource fee schedule · outpatient | $4.9k | $4.9k | $644 | 13% | — | $4.3k – $5.6k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $6.3k | $6.3k | $820 | 13% | — | $5.5k – $7.1k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $6.3k | $6.3k | $820 | 13% | — | $5.5k – $7.1k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $7.1k | $7.1k | $925 | 13% | — | $6.2k – $8.0k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $7.1k | $7.1k | $925 | 13% | — | $6.2k – $8.0k |
Last updated: Feb 28, 2026
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