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-HERP PAN 2 51152A
Northridge, CA
See all hospitals reporting CPT 86695 →Price type
Dignity Community Care’s median price of $14 is 40% below the median hospital's median price ($22), higher than 19% of the 2,570 hospitals reporting CPT 86695. 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, 31 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 | 24% | — | $2 – $3 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3 | $3 | $1 | 24% | — | $2 – $4 |
| 3 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $12 | $12 | $3 | 24% | — | $9 – $14 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Anthem medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Humana commercial|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Molina medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 12 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Anthem commercial|vivity fee schedule · outpatient | $14 | $14 | $3 | 24% | — | $11 – $17 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $14 | $14 | $3 | 24% | — | $11 – $18 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $14 | $14 | $3 | 24% | — | $11 – $18 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $15 | $15 | $1 | 8% | 2–20 | $14 – $16 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15 | $15 | $1 | 8% | — | $14 – $16 |
| 18 | Kaiser medicaid|< 21 fee schedule · outpatient | $15 | $15 | $2 | 11% | — | $14 – $17 |
| 19 | Kaiser medicaid|> 21 fee schedule · outpatient | $15 | $15 | $2 | 11% | — | $14 – $17 |
| 20 | Anthem commercial|all other plans fee schedule · outpatient | $16 | $16 | $4 | 24% | 2–20 | $12 – $20 |
| 21 | Aetna commercial|all other plans fee schedule · outpatient | $18 | $18 | $4 | 24% | — | $14 – $22 |
| 22 | Aetna commercial|hmo fee schedule · outpatient | $18 | $18 | $4 | 24% | — | $14 – $22 |
| 23 | Aetna commercial|ppo fee schedule · outpatient | $18 | $18 | $4 | 24% | — | $14 – $22 |
| 24 | Anthem commercial|mcs fee schedule · outpatient | $18 | $18 | $4 | 24% | — | $14 – $22 |
| 25 | Anthem medicaid|< 21 fee schedule · outpatient | $18 | $18 | $4 | 24% | — | $14 – $22 |
Last updated: Feb 28, 2026
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