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-ARBOCSF GM 2001597E
Glendale, CA
See all hospitals reporting CPT 86789 →Price type
Dignity Community Care’s median price of $14 is 39% below the median hospital's median price ($23), higher than 6% of the 2,494 hospitals reporting CPT 86789. 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 | $3 | $3 | $1 | 19% | — | $2 – $4 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $4 | $4 | $1 | 19% | — | $2 – $5 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $9 | $8 | $2 | 20% | — | $5 – $10 |
| 4 | Kaiser commercial|all plans fee schedule · outpatient | $9 | $8 | $2 | 20% | — | $5 – $10 |
| 5 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $9 | $9 | $2 | 19% | — | $5 – $11 |
| 6 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $9 | $9 | $2 | 19% | — | $5 – $11 |
| 7 | First Health commercial|all plans fee schedule · inpatient | $10 | $10 | $2 | 20% | — | $6 – $11 |
| 8 | First Health commercial|all plans fee schedule · outpatient | $10 | $10 | $2 | 20% | — | $6 – $11 |
| 9 | MultiPlan commercial|all plans fee schedule · inpatient | $12 | $12 | $2 | 19% | — | $7 – $14 |
| 10 | MultiPlan commercial|all plans fee schedule · outpatient | $12 | $12 | $2 | 19% | — | $7 – $14 |
| 11 | Anthem commercial|non-mcs fee schedule · outpatient | $13 | $12 | $2 | 19% | — | $7 – $14 |
| 12 | Humana commercial|all plans fee schedule · outpatient | $14 | $13 | $2 | 14% | — | $9 – $14 |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $14 | $13 | $2 | 14% | — | $9 – $14 |
| 14 | Anthem medicaid|all plans fee schedule · outpatient | $15 | $14 | $2 | 17% | — | $9 – $16 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $17 |
| 16 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $17 |
| 17 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $17 |
| 18 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $17 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $18 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $18 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $18 |
| 22 | Anthem commercial|mcs fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $18 |
| 23 | Molina medicaid|all plans fee schedule · outpatient | $15 | $15 | $3 | 19% | — | $9 – $18 |
| 24 | Anthem medicare|alhambra senior fee schedule · outpatient | $17 | $15 | $2 | 14% | — | $10 – $17 |
| 25 | Anthem commercial|alhambra fee schedule · outpatient | $18 | $17 | $2 | 14% | — | $11 – $18 |
Last updated: Feb 28, 2026
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