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
HC Retic Density Gradiant Sep/Arc
Falls, MT
See all hospitals reporting CPT 86972 →Price type
Benefis Hospitals Inc’s median price of $169 is 1% below the median hospital's median price ($171), higher than 47% 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: 11 payers, 27 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 bhs hb bcbs healthy montana kids fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Cigna bhs hb allegiance fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 5 | Healthpartners bhs hb allegiance fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Kaiser bhs hb allegiance fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 9 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 12 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 15 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 17 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 18 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 19 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 20 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 21 | Aetna bhs hb medicare other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 22 | Anthem bhs hb medicare other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 23 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 24 | Kaiser bhs hb medicare other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 25 | Medicare bhs hb medicare other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
Last updated: Mar 26, 2026
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