RC 804
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
DIALY CONT CYL PERIT CCPD
Phoenix, AZ
See all hospitals reporting RC 804 →Price type
Dignity Health’s median price of $454 is 39% below the median hospital's median price ($742), higher than 26% of the 482 hospitals reporting RC 804. 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, 22 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 medicaid|all plans fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $418 | $418 | — | — | — | $418 – $418 |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $418 | $418 | — | — | — | $418 – $418 |
| 4 | UnitedHealthcare medicare|dual complete case rate · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 7 | Cigna medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 8 | First Health medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 10 | Optum medicare|optumcare fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 11 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 12 | Optum medicare|optumhealth fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 14 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $823 | $823 | — | — | — | $823 – $823 |
| 15 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $914 | $914 | — | — | — | $914 – $914 |
| 16 | Optum commercial|optumhealth fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Aetna commercial|all plans fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Cigna commercial|lifesource fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Feb 28, 2026
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