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
Ahg- Direct Poly
Philadelphia, PA
See all hospitals reporting CPT 86880 →Price type
Children's Hospital of Philadelphia, The’s median price of $237 is 323% above the median hospital's median price ($56), higher than 99% of the 2,574 hospitals reporting CPT 86880. 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, 11 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 | Highmark all plan types fee schedule · outpatient | $11.15 | $11.15 | $11.15 – $11.15 |
| 2 | Aetna Better Health all plan types percent of total billed charges · outpatientfrom % of charges | $123.14 | $136.74 | $122.76 – $164.32 |
| 3 | Bcbs Nj all plan types percent of total billed charges · outpatientfrom % of charges | $183.96 | $204.28 | $183.39 – $245.48 |
| 4 | UnitedHealthcare all plan types percent of total billed charges · outpatientfrom % of charges | $200.59 | $207.17 | $86.24 – $382.47 |
| 5 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $208.76 | $231.82 | $208.12 – $278.58 |
| 6 | Aetna all plan types percent of total billed charges · outpatientfrom % of charges | $260.56 | $289.34 | $259.76 – $347.70 |
| 7 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $260.56 | $289.34 | $259.76 – $347.70 |
| 8 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $260.56 | $289.34 | $259.76 – $347.70 |
| 9 | Highmark all plan types percent of total billed charges · outpatientfrom % of charges | $260.56 | $289.34 | $259.76 – $347.70 |
| 10 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $338.73 | $376.14 | $337.68 – $452.01 |
| 11 | MultiPlan all plan types percent of total billed charges · outpatientfrom % of charges | $416.90 | $462.94 | $415.61 – $556.32 |
Last updated: Dec 31, 2025
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