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
U Culture,Comprehensive LC
Grand Coulee, WA
See all hospitals reporting CPT 87086 →Price type
Coulee Medical Center’s median price of $115 is 672% above the median hospital's median price ($15), higher than 94% of the 2,561 hospitals reporting CPT 87086. 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, 9 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 | Tricare all facility · percent of total billed charges · outpatientfrom % of charges | $73.50 | $73.50 | $64.05 – $82.95 |
| 2 | Premera all facility · percent of total billed charges · outpatientfrom % of charges | $129.36 | $129.36 | $112.72 – $145.99 |
| 3 | Aetna all facility · percent of total billed charges · outpatientfrom % of charges | $132.30 | $132.30 | $115.29 – $149.31 |
| 4 | Cigna all facility · percent of total billed charges · outpatientfrom % of charges | $132.30 | $132.30 | $115.29 – $149.31 |
| 5 | Kaiser all facility · percent of total billed charges · outpatientfrom % of charges | $132.30 | $132.30 | $115.29 – $149.31 |
| 6 | Regence all facility · percent of total billed charges · outpatientfrom % of charges | $132.30 | $132.30 | $115.29 – $149.31 |
| 7 | UnitedHealthcare all facility · percent of total billed charges · outpatientfrom % of charges | $132.30 | $132.30 | $115.29 – $149.31 |
| 8 | MultiPlan all facility · percent of total billed charges · outpatientfrom % of charges | $135.24 | $135.24 | $117.85 – $152.62 |
| 9 | First Health all facility · percent of total billed charges · outpatientfrom % of charges | $139.65 | $139.65 | $121.69 – $157.60 |
Last updated: Jan 21, 2026
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