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-BS-AG RBC NON ABO/RH E
Carmichael, CA
See all hospitals reporting CPT 86905 →Price type
Dignity Health’s median price of $14 is 88% below the median hospital's median price ($120), higher than 23% of the 2,551 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, 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $5 | $4 | $0 | 4% | 4–40 | $4 – $5 |
| 2 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $5 | $4 | $0 | 4% | — | $4 – $5 |
| 3 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $5 | $4 | $0 | 4% | — | $4 – $5 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $5 | $4 | $0 | 4% | — | $4 – $5 |
| 5 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $5 | $5 | $0 | 6% | — | $4 – $5 |
| 6 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $5 | $5 | $0 | 6% | — | $4 – $5 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $6 | $6 | $1 | 16% | — | $4 – $6 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $9 | $8 | $2 | 26% | — | $4 – $9 |
| 9 | Cigna commercial|localplus fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $14 | $12 | $4 | 37% | — | $4 – $14 |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $14 | $12 | $4 | 37% | — | $4 – $14 |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $14 | $12 | $4 | 37% | — | $4 – $14 |
| 14 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $15 | $35 | $43 | 124% | — | $1 – $108 |
| 15 | Anthem commercial|connection epo fee schedule · outpatient | $38 | $37 | $26 | 70% | — | $3 – $67 |
| 16 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $19 | $45 | $55 | 124% | — | $2 – $140 |
| 17 | Kaiser medicaid|all plans fee schedule · outpatient | $20 | $46 | $57 | 124% | — | $2 – $143 |
| 18 | Anthem commercial|all other plans fee schedule · outpatient | $48 | $46 | $32 | 70% | 4–40 | $4 – $84 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $20 | $47 | $58 | 124% | — | $2 – $147 |
| 20 | Anthem commercial|mcs fee schedule · outpatient | $48 | $55 | $44 | 80% | — | $4 – $118 |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $26 | $61 | $75 | 124% | — | $2 – $188 |
| 22 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $26 | $62 | $76 | 124% | — | $2 – $192 |
| 23 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $28 | $66 | $82 | 124% | — | $2 – $206 |
| 24 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $30 | $70 | $86 | 124% | — | $3 – $216 |
| 25 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $32 | $74 | $92 | 124% | — | $3 – $230 |
Last updated: Feb 28, 2026
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