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
RL-A-LEISH IGG 51726
Glendale, CA
See all hospitals reporting CPT 86717 →Price type
Dignity Community Care’s median price of $19 is 45% above the median hospital's median price ($13), higher than 68% of the 1,664 hospitals reporting CPT 86717. 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, 30 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 commercial|exchange fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Humana commercial|all plans fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Anthem medicare|alhambra senior fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Anthem commercial|alhambra fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Anthem commercial|hcla fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Anthem medicaid|all plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 15 | Molina medicaid|all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Kaiser medicaid|< 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Kaiser medicaid|> 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 20 | First Health commercial|all plans fee schedule · inpatient | $25 | $25 | — | — | — | $25 – $25 |
| 21 | First Health commercial|all plans fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $31 | $31 | — | — | — | $31 – $31 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
Last updated: Feb 28, 2026
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