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
PF SALP-OO COM/PART UNI/BI
Page, AZ
See all hospitals reporting CPT 58720 →Price type
Page Hospital’s median price of $463 is 86% below the median hospital's median price ($3.3k), higher than 2% of the 1,512 hospitals reporting CPT 58720. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $413 | $413 | $248 | 60% | — | $165 – $660 |
| 2 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $607 | $607 | $364 | 60% | — | $243 – $972 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | $387 | 60% | — | $258 – $1.0k |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | $387 | 60% | — | $258 – $1.0k |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | $387 | 60% | — | $258 – $1.0k |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | $387 | 60% | — | $258 – $1.0k |
| 7 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $710 | $710 | $426 | 60% | — | $284 – $1.1k |
| 8 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $720 | $720 | $432 | 60% | — | $288 – $1.2k |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $747 | $747 | — | — | — | $747 – $747 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $768 | $768 | $461 | 60% | — | $307 – $1.2k |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $807 | $807 | $484 | 60% | — | $323 – $1.3k |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $877 | $877 | $526 | 60% | — | $351 – $1.4k |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $884 | $884 | $530 | 60% | — | $354 – $1.4k |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $960 | $960 | $576 | 60% | — | $384 – $1.5k |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $960 | $960 | $576 | 60% | — | $384 – $1.5k |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $960 | $960 | $576 | 60% | — | $384 – $1.5k |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $638 | 60% | — | $426 – $1.7k |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $650 | 60% | — | $434 – $1.7k |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $650 | 60% | — | $434 – $1.7k |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $663 | 60% | — | $442 – $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 | $1.1k | $1.1k | $672 | 60% | — | $449 – $1.8k |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $672 | 60% | — | $449 – $1.8k |
Last updated: Mar 2, 2026
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