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
AG RBC NON ABO/RH EA
Northridge, CA
See all hospitals reporting CPT 86905 →Price type
Dignity Community Care’s median price of $94 is 22% below the median hospital's median price ($121), higher than 47% of the 2,524 hospitals reporting CPT 86905. 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Molina medicaid|< 21 fee schedule · outpatient | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 8 | Molina medicaid|> 21 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Cigna commercial|all other plans fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Cigna commercial|ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Anthem commercial|vivity fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 16 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Anthem commercial|all other plans fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Anthem commercial|mcs fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 20 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $334 | $334 | — | — | — | $334 – $334 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 23 | Kaiser medicare|all plans fee schedule · outpatient | $418 | $418 | — | — | — | $418 – $418 |
| 24 | Aetna medicare|all plans case rate · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 25 | Anthem medicare|all plans case rate · outpatient | $457 | $457 | — | — | — | $457 – $457 |
Last updated: Feb 28, 2026
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