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-L-SERUM INHIBITION
Glendale, CA
See all hospitals reporting CPT 86977 →Price type
Dignity Community Care’s median price of $114 is 32% below the median hospital's median price ($168), higher than 24% of the 1,827 hospitals reporting CPT 86977. 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 | Anthem medicaid|all plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $35 | $35 | $4 | 12% | — | $30 – $41 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $47 | $48 | $6 | 12% | — | $41 – $55 |
| 7 | Cigna commercial|all other plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Cigna commercial|ppo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 9 | Kaiser commercial|all plans fee schedule · inpatient | $98 | $99 | $12 | 12% | — | $84 – $114 |
| 10 | Kaiser commercial|all plans fee schedule · outpatient | $98 | $99 | $12 | 12% | — | $84 – $114 |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $105 | $106 | $13 | 12% | — | $90 – $122 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $105 | $106 | $13 | 12% | — | $90 – $122 |
| 16 | First Health commercial|all plans fee schedule · inpatient | $114 | $115 | $14 | 12% | — | $98 – $132 |
| 17 | First Health commercial|all plans fee schedule · outpatient | $114 | $115 | $14 | 12% | — | $98 – $132 |
| 18 | Anthem commercial|non-mcs fee schedule · outpatient | $133 | $130 | $5 | 4% | — | $123 – $133 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $140 | $141 | $18 | 12% | — | $120 – $163 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $140 | $141 | $18 | 12% | — | $120 – $163 |
| 21 | Anthem commercial|mcs fee schedule · outpatient | $175 | $167 | $12 | 7% | — | $150 – $176 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $175 | $168 | $13 | 8% | — | $150 – $179 |
| 23 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $175 | $168 | $13 | 8% | — | $150 – $179 |
| 24 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $175 | $168 | $13 | 8% | — | $150 – $179 |
| 25 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $175 | $168 | $13 | 8% | — | $150 – $179 |
Last updated: Feb 28, 2026
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