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
HEMO AGNT GI LEVEL 3
Tucson, AZ
See all hospitals reporting HCPCS C1052 →Price type
Northwest Hospital LLC’s median price of $2.4k is 28% below the median hospital's median price ($3.3k), higher than 38% of the 940 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: 9 payers, 23 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 bcbs pimaconnect facility · other · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 2 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Blue Cross Blue Shield bcbs az work comp facility · other · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Aetna aetna all facility · other · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 5 | Aetna aetna asbait facility · other · inpatient | $983 | $983 | — | — | — | $983 – $983 |
| 6 | Aetna aetna asbait facility · other · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 7 | Aetna aetna performance facility · other · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 8 | Aetna aetna qhp facility · other · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 9 | Medicaid az medicaid facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Magellan magellan medicaid az facility · other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | UnitedHealthcare uhc hix facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Cigna cigna localflex facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | Cigna cigna localplus facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Cigna cigna hmo facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | UnitedHealthcare uhc navigate facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 17 | Devoted node devoted health mcr adv facility · other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 18 | Aetna aetna ihs facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 19 | Aetna aetna ihs facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 20 | First Health first health coventry facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 21 | First Health first health coventry facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
Last updated: Apr 1, 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.