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
S-HRBC LR CMV-IRR EA
Tucson, AZ
See all hospitals reporting HCPCS P9058 →Price type
Northwest Hospital LLC’s median price of $258 is 22% below the median hospital's median price ($328), higher than 37% of the 1,183 hospitals reporting HCPCS P9058. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 33 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 uhc hix facility · per diem · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 2 | Medicaid az medicaid facility · other · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 3 | Magellan magellan medicaid az facility · other · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 4 | UnitedHealthcare uhc navigate facility · per diem · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 5 | UnitedHealthcare uhc apa facility · per diem · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 7 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 8 | Humana node humana mcr adv facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 9 | UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 10 | Tricare node tricare facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 11 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 12 | Clover node clover health mcr adv facility · fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 13 | Devoted node devoted health mcr adv facility · other · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 14 | Magellan node magellan mcr adv facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 15 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 16 | Aetna aetna asbait facility · percent of total billed charges · inpatientfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 17 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 18 | Ambetter node az complete health ambetter exchange facility · fee schedule · outpatient | $352 | $352 | — | — | — | $352 – $352 |
| 19 | Aetna aetna qhp facility · percent of total billed charges · outpatientfrom % of charges | $489 | $489 | — | — | — | $489 – $489 |
| 20 | Cigna cigna localflex facility · other · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 21 | Cigna cigna localplus facility · other · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 22 | Cigna cigna hmo facility · other · outpatient | $515 | $515 | — | — | — | $515 – $515 |
| 23 | Aetna aetna performance facility · percent of total billed charges · outpatientfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $576 | $576 | — | — | — | $576 – $576 |
| 25 | Blue Cross Blue Shield bcbs pimaconnect facility · other · outpatient | $594 | $594 | — | — | — | $594 – $594 |
Last updated: Apr 1, 2026
See Red blood cell transfusion unit, leukocyte-reduced, CMV-negative, irradiated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.