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
RBC PRETX INCUBATJ W/DENSITY
Burnet, TX
See all hospitals reporting CPT 86972 →Price type
Ascension Seton’s median price of $90 is 47% below the median hospital's median price ($171), higher than 17% 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: 5 payers, 12 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 | Humana 2668_humana hmo 20230701 other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 9 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 10 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 11 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 12 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $676 | $676 | — | — | — | $676 – $676 |
Last updated: Jan 1, 2026
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