☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /86972
  5. /Percent of billed charges
CPT 86972

HC PRETREAT RBC; DGS

Reported by 352 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$7

Average

$197

Median

$169

High

$4.8k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$109$116$40—$21$396
2Northwest Iowa Hospital CorporationSioux City, IA$119$98$43—$15$457
3St Luke'sJones Regional Medical CenterAnamosa, IA$105$133$46—$75$206
4Medical Ctiy ArgyleArgyle, TX$275$252$143—$35$500
5Medical City AllianceSAGINAW, TX$115$174$146—$33$470
6St Luke's Methodist HospitalCedar Rapids, IA$95$93$20—$69$427
7Trinity Medical CenterRock Island, IL$100$97$12—$81$486
8Trinity Medical CenterBettendorf, IA$95$93$16—$72$440
9Unity HealthcareMuscatine, IA$72$73$25—$47$515
10Trinity Regional Medical CenterFort Dodge, IA$132$142$30—$95$450
Page 1 of 36

Look up this code directly

Ask Claude or any MCP client for CPT 86972 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC