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-RBC PRETREAT DENSIT
Carmichael, CA
See all hospitals reporting CPT 86972 →Price type
Dignity Health’s median price of $212 is 24% above the median hospital's median price ($171), higher than 78% of the 1,756 hospitals reporting CPT 86972. 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 medicaid|< 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Aetna commercial|all other plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Aetna commercial|hmo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Aetna commercial|ppo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Cigna commercial|localplus fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 9 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Kaiser medicaid|all plans fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 13 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 16 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 17 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 18 | Kaiser commercial|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 19 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 20 | Anthem medicare|all other plans fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 21 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 22 | Aetna medicare|all plans fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 23 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 24 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 25 | Humana commercial|all plans fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
Last updated: Feb 28, 2026
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