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
COXSACKIE A4 AB REF 1
Arlington, TX
See all hospitals reporting CPT 86658 →Price type
AMH Cath Labs LLC’s median price of $27 is 35% above the median hospital's median price ($20), higher than 62% of the 2,319 hospitals reporting CPT 86658. 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, 31 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Molina managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Humana medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 11 | Molina medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Aetna whole health fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Blue Cross Blue Shield ppo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Aetna commercial fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Cigna oap/hmo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 22 | Cigna ppo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $55 | $59 | $18 | 30% | — | $37 – $94 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $56 | $60 | $18 | 30% | — | $37 – $95 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $56 | $60 | $18 | 30% | — | $37 – $95 |
Last updated: Apr 21, 2026
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