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
WATERJET PROSTATE ABLTJ CMPL
Tucson, AZ
See all hospitals reporting CPT 0421T →Price type
Northwest Hospital LLC’s median price of $13.0k is 54% above the median hospital's median price ($8.4k), higher than 82% of the 1,089 hospitals reporting CPT 0421T. 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, 17 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 | Aetna aetna qhp facility · case rate · outpatient | $2,326 | $2,326 | $2,326 – $2,326 |
| 2 | Cigna cigna localflex facility · other · outpatient | $2,559 | $2,559 | $2,559 – $2,559 |
| 3 | Cigna cigna localplus facility · other · outpatient | $2,559 | $2,559 | $2,559 – $2,559 |
| 4 | Aetna aetna performance facility · case rate · outpatient | $2,599 | $2,599 | $2,599 – $2,599 |
| 5 | Cigna cigna hmo facility · other · outpatient | $2,666 | $2,666 | $2,666 – $2,666 |
| 6 | Aetna aetna all facility · case rate · outpatient | $2,736 | $2,736 | $2,736 – $2,736 |
| 7 | Blue Cross Blue Shield bcbs pimaconnect facility · other · outpatient | $2,898 | $2,898 | $2,898 – $2,898 |
| 8 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient | $3,051 | $3,051 | $3,051 – $3,051 |
| 9 | Blue Cross Blue Shield bcbs az work comp facility · other · outpatient | $4,130 | $4,130 | $4,130 – $4,130 |
| 10 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $10,346 | $10,346 | $10,346 – $10,346 |
| 11 | Medicaid az medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12,424 | $12,424 | $12,424 – $12,424 |
| 12 | Magellan magellan medicaid az facility · percent of total billed charges · outpatientfrom % of charges | $13,045 | $13,045 | $13,045 – $13,045 |
| 13 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $15,519 | $15,519 | $15,519 – $15,519 |
| 14 | Devoted node devoted health mcr adv facility · other · outpatient | $25,866 | $25,866 | $25,866 – $25,866 |
| 15 | Aetna aetna ihs facility · percent of total billed charges · outpatientfrom % of charges | $38,798 | $38,798 | $38,798 – $38,798 |
| 16 | First Health first health coventry facility · percent of total billed charges · outpatientfrom % of charges | $45,265 | $45,265 | $45,265 – $45,265 |
| 17 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $71,562 | $71,562 | $71,562 – $71,562 |
Last updated: Apr 1, 2026
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