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-L-HLA AB DEF SUP KT
Long Beach, CA
See all hospitals reporting CPT 86807 →Price type
Dignity Health’s median price of $79 is 5% below the median hospital's median price ($83), higher than 14% of the 1,504 hospitals reporting CPT 86807. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 32 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 | Anthem medicaid|all plans fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 5 | Cigna medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 10 | Kaiser medicaid|< 21 fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 11 | Kaiser medicaid|> 21 fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $95 | $87 | $34 | 39% | — | $42 – $124 |
| 13 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 17 | Blue Cross Blue Shield medicare|trauma fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $123 | $112 | $44 | 39% | — | $54 – $159 |
| 19 | Anthem commercial|exchange fee schedule · outpatient | $145 | $132 | $52 | 39% | — | $64 – $189 |
| 20 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $163 | $148 | $58 | 39% | — | $72 – $211 |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $175 | $160 | $62 | 39% | — | $77 – $228 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $175 | $160 | $62 | 39% | — | $77 – $228 |
| 23 | Cigna commercial|all other plans fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 24 | Cigna commercial|ppo fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $200 | $183 | $71 | 39% | — | $88 – $260 |
Last updated: Feb 28, 2026
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