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
NH-IA GIENTBACPNL 6-11TRG
Los Angeles, CA
See all hospitals reporting CPT 87506 →Price type
Dignity Community Care’s median price of $289 is 4% above the median hospital's median price ($277), higher than 54% of the 1,911 hospitals reporting CPT 87506. 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, 29 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 | $199 | $199 | — | — | — | $199 – $199 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 5 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 6 | Molina medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 8 | Molina medicaid|< 21 fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 9 | Molina medicaid|> 21 fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 10 | Kaiser medicaid|< 21 fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 11 | Kaiser medicaid|> 21 fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 13 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 14 | Anthem commercial|exchange fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $571 | $571 | — | — | — | $571 – $571 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $571 | $571 | — | — | — | $571 – $571 |
| 19 | Kaiser commercial|all plans fee schedule · inpatient | $580 | $580 | — | — | — | $580 – $580 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 21 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $621 | $621 | — | — | — | $621 – $621 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $654 | $654 | — | — | — | $654 – $654 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $654 | $654 | — | — | — | $654 – $654 |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 25 | Aetna commercial|all other plans fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
Last updated: Feb 28, 2026
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