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
Nmo/Aqp4 Facs, S (Mayo)
Wadena, MN
See all hospitals reporting CPT 86053 →Price type
Astera Health’s median price of $395 is 893% above the median hospital's median price ($40), higher than 93% of the 1,969 hospitals reporting CPT 86053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 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 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $190 | $173 | $78 | 45% | — | $71 – $259 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $209 | $190 | $85 | 45% | — | $78 – $285 |
| 3 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $209 | $190 | $85 | 45% | — | $78 – $285 |
| 4 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $209 | $190 | $85 | 45% | — | $78 – $285 |
| 5 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $209 | $190 | $85 | 45% | — | $78 – $285 |
| 6 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $219 | $200 | $90 | 45% | — | $82 – $299 |
| 7 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $219 | $200 | $90 | 45% | — | $82 – $299 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $290 | $264 | $119 | 45% | — | $108 – $395 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $301 | $274 | $123 | 45% | — | $112 – $410 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $362 | $330 | $148 | 45% | — | $135 – $494 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $387 | $353 | $159 | 45% | — | $144 – $528 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $388 | $354 | $159 | 45% | — | $144 – $529 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $396 | $362 | $162 | 45% | — | $148 – $541 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $403 | $368 | $165 | 45% | — | $150 – $550 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $406 | $371 | $166 | 45% | — | $151 – $554 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $417 | $380 | $171 | 45% | — | $155 – $569 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $417 | $380 | $171 | 45% | — | $155 – $569 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $443 | $404 | $181 | 45% | — | $165 – $605 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $443 | $404 | $181 | 45% | — | $165 – $605 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $469 | $428 | $192 | 45% | — | $175 – $640 |
Last updated: Feb 20, 2026
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