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 MBC-CELL SEP-RETIC
Ulm, MN
See all hospitals reporting CPT 86972 →Price type
Allina Health Systems’s median price of $375 is 119% above the median hospital's median price ($171), higher than 96% of the 1,756 hospitals reporting CPT 86972. 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 3 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 4 | Medicare medicare (n) facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 5 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 6 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 7 | Medicaid medicaid ma (n) facility · other · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 10 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 11 | Bcbs Mn bc premier(n) facility · other · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 12 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $369 | $369 | — | — | — | $369 – $369 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $373 | $373 | — | — | — | $373 – $373 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $377 | $377 | — | — | — | $377 – $377 |
| 15 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $407 | $407 | — | — | — | $407 – $407 |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $426 | $426 | — | — | — | $426 – $426 |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $487 | $487 | — | — | — | $487 – $487 |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $512 | $512 | — | — | — | $512 – $512 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $512 | $512 | — | — | — | $512 – $512 |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $512 | $512 | — | — | — | $512 – $512 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $515 | $515 | — | — | — | $515 – $515 |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
Last updated: Jun 16, 2026
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