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 SCRN REAGENT EA
Folsom, CA
See all hospitals reporting CPT 86902 →Price type
Dignity Health’s median price of $45 is 64% below the median hospital's median price ($127), higher than 34% of the 2,505 hospitals reporting CPT 86902. 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, 36 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Cigna commercial|localplus fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Cigna commercial|all other plans fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 10 | Aetna commercial|all other plans fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Aetna commercial|hmo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Aetna commercial|ppo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Anthem commercial|connection epo fee schedule · outpatient | $56 | $55 | $8 | 14% | — | $42 – $63 |
| 14 | Kaiser medicaid|all plans fee schedule · outpatient | $29 | $58 | $42 | 73% | — | $22 – $130 |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $70 | $69 | $10 | 14% | — | $53 – $79 |
| 16 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $39 | $77 | $57 | 73% | — | $29 – $174 |
| 17 | Anthem commercial|mcs fee schedule · outpatient | $70 | $81 | $24 | 30% | — | $53 – $111 |
| 18 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $50 | $100 | $73 | 73% | — | $38 – $224 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $50 | $101 | $74 | 73% | — | $38 – $228 |
| 20 | First Health commercial|all plans fee schedule · inpatient | $53 | $105 | $77 | 73% | — | $40 – $237 |
| 21 | First Health commercial|all plans fee schedule · outpatient | $53 | $105 | $77 | 73% | — | $40 – $237 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $55 | $111 | $81 | 73% | — | $42 – $250 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $57 | $115 | $84 | 73% | — | $43 – $259 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $57 | $115 | $84 | 73% | — | $43 – $259 |
| 25 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $61 | $122 | $90 | 73% | — | $46 – $275 |
Last updated: Feb 28, 2026
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