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
ADSORP PHENOTYPE BLD-CTR
Arlington, TX
See all hospitals reporting CPT 86905 →Price type
AMH Cath Labs LLC’s median price of $317 is 163% above the median hospital's median price ($120), higher than 68% of the 2,551 hospitals reporting CPT 86905. 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Molina managed medicaid fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Aetna whole health fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Cigna oap/hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Cigna ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Aetna commercial fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $250 | $337 | $124 | 37% | — | $250 – $512 |
| 13 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $252 | $340 | $125 | 37% | — | $252 – $517 |
| 14 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $252 | $340 | $125 | 37% | — | $252 – $517 |
| 15 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 16 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $268 | $362 | $132 | 37% | — | $268 – $549 |
| 17 | Humana medicare advantage case rate · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 18 | Humana medicare advantage ppo case rate · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 19 | Molina medicare advantage case rate · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 20 | WellCare medicare advantage hmo case rate · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 21 | Blue Cross Blue Shield exchange fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 22 | WellCare medicare advantage mmp case rate · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 23 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 24 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 25 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $313 | $422 | $155 | 37% | — | $313 – $641 |
Last updated: Apr 21, 2026
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