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
DIANEAL 1.5% DEX LO CA 2.5L
Pittsburgh, PA
See all hospitals reporting HCPCS A4722 →Price type
UPMC Presbyterian’s median price of $41 is 16% above the median hospital's median price ($35), higher than 55% 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, 17 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 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $0 | 3% | — | $9 – $10 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $14 | $13 | $0 | 3% | — | $13 – $14 |
| 3 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $1 | 3% | — | $19 – $21 |
| 4 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $22 | $22 | $1 | 3% | — | $21 – $22 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 6 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 7 | Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges | $28 | $27 | $1 | 3% | — | $26 – $28 |
| 8 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $28 | $27 | $1 | 3% | — | $26 – $28 |
| 9 | Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges | $29 | $28 | $1 | 3% | — | $27 – $29 |
| 10 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $29 | $28 | $1 | 3% | — | $27 – $29 |
| 11 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $38 | $37 | $1 | 3% | — | $36 – $39 |
| 12 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $38 | $37 | $1 | 3% | — | $36 – $39 |
| 13 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $43 | $43 | $1 | 3% | — | $41 – $44 |
| 14 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | $1 | 3% | — | $41 – $44 |
| 15 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $46 | $45 | $1 | 3% | — | $43 – $47 |
| 16 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $46 | $45 | $1 | 3% | — | $43 – $47 |
| 17 | Highmark upmc emergent facility · percent of total billed charges · outpatientfrom % of charges | $55 | $55 | $2 | 3% | — | $52 – $57 |
Last updated: Mar 6, 2026
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