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
HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE
Ulm, MN
See all hospitals reporting CPT 86403 →Price type
Allina Health Systems’s median price of $74 is 307% above the median hospital's median price ($18), higher than 87% of the 2,272 hospitals reporting CPT 86403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 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 allina aetna medicare (n) facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Medicare medicare (n) facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Bcbs Mn bc pmap (n) facility · other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Medicaid medicaid ma (n) facility · other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 14 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 15 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 16 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 17 | Cigna hpi cigna (n) facility · other · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 20 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 23 | Bcbs Mn bc premier(n) facility · other · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Jun 16, 2026
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