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-HEV IGM 2010156
Carmichael, CA
See all hospitals reporting CPT 86790 →Price type
Dignity Health’s median price of $14 is 40% below the median hospital's median price ($24), higher than 28% of the 2,476 hospitals reporting CPT 86790. 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, 39 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|aco trio fee schedule · outpatient | $9 | $12 | $8 | 67% | — | $3 – $30 |
| 2 | Anthem medicare|all other plans fee schedule · outpatient | $12 | $12 | $1 | 5% | — | $10 – $12 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 4 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 5 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 6 | Humana commercial|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 8 | Kaiser medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 10 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 11 | Anthem medicare|imperial fee schedule · outpatient | $13 | $13 | $1 | 5% | — | $11 – $13 |
| 12 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $15 | $15 | $1 | 10% | — | $11 – $15 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15 | $15 | $1 | 10% | — | $11 – $15 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $15 | $15 | $1 | 10% | — | $11 – $15 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $15 | $15 | $1 | 10% | — | $11 – $15 |
| 16 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $12 | $15 | $10 | 67% | — | $4 – $38 |
| 17 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $16 | $15 | $2 | 12% | — | $11 – $16 |
| 18 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $16 | $15 | $2 | 12% | — | $11 – $16 |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $12 | $15 | $10 | 67% | — | $4 – $39 |
| 20 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $12 | $16 | $11 | 67% | — | $5 – $40 |
| 21 | Molina medicaid|all plans fee schedule · outpatient | $22 | $19 | $4 | 22% | — | $11 – $22 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $16 | $20 | $14 | 67% | — | $6 – $51 |
| 23 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $16 | $21 | $14 | 67% | — | $6 – $52 |
| 24 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $17 | $22 | $15 | 67% | — | $6 – $56 |
| 25 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $18 | $23 | $16 | 67% | — | $7 – $59 |
Last updated: Feb 28, 2026
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