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 MOGS FACS, SERUM - RL
Monroe, LA
See all hospitals reporting CPT 86363 →Price type
Brfhh Monroe, Llc’s median price of $38 is 5% below the median hospital's median price ($40), higher than 15% of the 1,930 hospitals reporting CPT 86363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 10 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 Better Health all payor fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Amerihealth Caritas all payor fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | UnitedHealthcare all payor fee schedule · outpatient | $12 | $22 | $13 | 60% | — | $9 – $38 |
| 4 | Humana all payor fee schedule · outpatient | $36 | $27 | $13 | 48% | — | $9 – $38 |
| 5 | First Health all payor fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Aetna all payor fee schedule · outpatient | $34 | $34 | $4 | 12% | — | $29 – $38 |
| 7 | Bcbs La all payor fee schedule · outpatient | $39 | $35 | $8 | 23% | — | $19 – $39 |
| 8 | Optum all payor fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Cigna all payor other · outpatient | $44 | $44 | $29 | 65% | — | $15 – $73 |
| 10 | MultiPlan all payor other · outpatient | $72 | $72 | $47 | 65% | — | $25 – $119 |
Last updated: Apr 1, 2026
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