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
BX BRST W/WO DEV/IMG US LSN ADD
Page, AZ
See all hospitals reporting CPT 19084 →Price type
Page Hospital’s median price of $194 is 86% below the median hospital's median price ($1.3k), higher than 11% of the 2,044 hospitals reporting CPT 19084. 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, 25 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 | Humana medicare advantage facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 4 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 5 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $380 | $380 | $311 | 82% | — | $69 – $691 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $594 | $594 | $486 | 82% | — | $108 – $1.1k |
| 7 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $594 | $594 | $486 | 82% | — | $108 – $1.1k |
| 8 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $594 | $594 | $486 | 82% | — | $108 – $1.1k |
| 9 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $594 | $594 | $486 | 82% | — | $108 – $1.1k |
| 10 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $654 | $654 | $535 | 82% | — | $119 – $1.2k |
| 11 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $663 | $663 | $543 | 82% | — | $121 – $1.2k |
| 12 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $708 | $708 | $579 | 82% | — | $129 – $1.3k |
| 13 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $743 | $743 | $608 | 82% | — | $135 – $1.4k |
| 14 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $808 | $808 | $661 | 82% | — | $147 – $1.5k |
| 15 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $884 | $884 | $724 | 82% | — | $161 – $1.6k |
| 16 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $884 | $884 | $724 | 82% | — | $161 – $1.6k |
| 17 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $884 | $884 | $724 | 82% | — | $161 – $1.6k |
| 18 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $980 | $980 | $802 | 82% | — | $178 – $1.8k |
| 19 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $999 | $999 | $817 | 82% | — | $182 – $1.8k |
| 20 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $999 | $999 | $817 | 82% | — | $182 – $1.8k |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $845 | 82% | — | $188 – $1.9k |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $845 | 82% | — | $188 – $1.9k |
| 23 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Aetna banner employee plans facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Mar 2, 2026
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