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
DIANEALLC1.5%DEX 2.5LINJ
Richmond, VA
See all hospitals reporting HCPCS A4722 →Price type
Parham Doctors Hospital’s median price of $475 is 1257% above the median hospital's median price ($35), higher than 96% of the 339 hospitals reporting HCPCS A4722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Oscar comm percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Aetna broad percent of total billed charges · outpatientfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 3 | Aetna sharedsavings percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $243 | $202 | $80 | 40% | — | $42 – $243 |
| 5 | Aetna mgmcr percent of total billed charges · outpatientfrom % of charges | $254 | $212 | $84 | 40% | — | $44 – $254 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $353 | $294 | $117 | 40% | — | $61 – $353 |
| 7 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $356 | $297 | $118 | 40% | — | $61 – $356 |
| 8 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $356 | $297 | $118 | 40% | — | $61 – $356 |
| 9 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $763 | $637 | $253 | 40% | — | $131 – $763 |
| 10 | MultiPlan phcs percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.3k | $506 | 40% | — | $262 – $1.5k |
Last updated: Mar 1, 2026
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