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
INSJ STABLJ DEV W/O DCMPRN
Boulder, CO
See all hospitals reporting CPT 22869 →Price type
Boulder Community Health’s median price of $878 is 93% below the median hospital's median price ($12.8k), higher than 11% of the 1,495 hospitals reporting CPT 22869. 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, 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 | Aetna medicare advantage professional · case rate · both | $402 | $402 | — | — | — | $402 – $402 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $402 | $402 | — | — | — | $402 – $402 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $402 | $402 | — | — | — | $402 – $402 |
| 4 | Humana medicare advantage professional · fee schedule · both | $402 | $402 | — | — | — | $402 – $402 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $499 | $499 | — | — | — | $499 – $499 |
| 6 | Anthem commercial professional · fee schedule · both | $538 | $591 | $84 | 14% | — | $538 – $725 |
| 7 | Kaiser commercial professional · fee schedule · both | $636 | $636 | — | — | — | $636 – $636 |
| 8 | MultiPlan commercial professional · fee schedule · both | $672 | $672 | — | — | — | $672 – $672 |
| 9 | Phcs commercial professional · fee schedule · both | $672 | $672 | — | — | — | $672 – $672 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $704 | $704 | — | — | — | $704 – $704 |
| 11 | Anthem managed care professional · fee schedule · both | $725 | $725 | — | — | — | $725 – $725 |
| 12 | Cigna commercial professional · fee schedule · both | $735 | $735 | — | — | — | $735 – $735 |
| 13 | Aetna commercial professional · fee schedule · both | $878 | $878 | — | — | — | $878 – $878 |
| 14 | Aetna ppo professional · fee schedule · both | $878 | $878 | — | — | — | $878 – $878 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $890 | $890 | — | — | — | $890 – $890 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $7.0k | $7.0k | $6.6k | 94% | — | $402 – $13.7k |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 19 | Humana medicare advantage facility · case rate · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $14.0k | $14.0k | $68 | 0% | — | $14.0k – $14.1k |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 23 | UnitedHealthcare commercial facility · fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 24 | Kaiser commercial facility · case rate · outpatient | $29.9k | $29.9k | $3.6k | 12% | — | $26.3k – $33.5k |
| 25 | Kaiser managed care facility · case rate · outpatient | $33.2k | $33.2k | — | — | — | $33.2k – $33.2k |
Last updated: Sep 16, 2026
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