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
XR ABDOMEN 3+ VW
Page, AZ
Negotiated rates from the hospital’s own file: 8 payers, 24 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $66 | $66 | $54 | 82% | — | $12 – $120 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $97 | $97 | $80 | 82% | — | $17 – $177 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $85 | 82% | — | $19 – $188 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $85 | 82% | — | $19 – $188 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $85 | 82% | — | $19 – $188 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $85 | 82% | — | $19 – $188 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $93 | 82% | — | $20 – $206 |
| 9 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $115 | $115 | $94 | 82% | — | $21 – $210 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $101 | 82% | — | $22 – $223 |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $106 | 82% | — | $23 – $235 |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $115 | 82% | — | $25 – $255 |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $141 | $141 | $116 | 82% | — | $25 – $257 |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $126 | 82% | — | $28 – $279 |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $126 | 82% | — | $28 – $279 |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $126 | 82% | — | $28 – $279 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | $139 | 82% | — | $31 – $310 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | $142 | 82% | — | $31 – $315 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | $142 | 82% | — | $31 – $315 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | $145 | 82% | — | $32 – $321 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $179 | $179 | $147 | 82% | — | $32 – $326 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $179 | $179 | $147 | 82% | — | $32 – $326 |
| 23 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 24 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |