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-DNA IFA 2002693
Merced, CA
See all hospitals reporting CPT 86256 →Price type
Dignity Health’s median price of $15 is 31% below the median hospital's median price ($22), higher than 32% of the 2,481 hospitals reporting CPT 86256. 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, 34 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 | Aetna medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $14 | $14 | $1 | 5% | — | $12 – $14 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $14 | $14 | $1 | 5% | — | $12 – $14 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $14 | $14 | $1 | 5% | — | $12 – $14 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $14 | $14 | $1 | 5% | — | $12 – $14 |
| 11 | Kaiser medicaid|< 21 fee schedule · outpatient | $15 | $15 | $1 | 6% | — | $12 – $15 |
| 12 | Kaiser medicaid|> 21 fee schedule · outpatient | $15 | $15 | $1 | 6% | — | $12 – $15 |
| 13 | Molina medicaid|< 21 fee schedule · outpatient | $15 | $15 | $1 | 6% | — | $12 – $15 |
| 14 | Molina medicaid|> 21 fee schedule · outpatient | $15 | $15 | $1 | 6% | — | $12 – $15 |
| 15 | Anthem medicaid|< 21 fee schedule · outpatient | $18 | $17 | $2 | 12% | — | $12 – $18 |
| 16 | Anthem medicaid|> 21 fee schedule · outpatient | $18 | $17 | $2 | 12% | — | $12 – $18 |
| 17 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $28 | $31 | $22 | 70% | — | $3 – $73 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $38 | $42 | $29 | 70% | — | $5 – $98 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $74 | $58 | $25 | 42% | — | $12 – $74 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $74 | $58 | $25 | 42% | — | $12 – $74 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $74 | $58 | $25 | 42% | — | $12 – $74 |
| 22 | Anthem commercial|exchange fee schedule · outpatient | $66 | $67 | $42 | 63% | — | $8 – $129 |
| 23 | Cigna commercial|all other plans fee schedule · inpatient | $63 | $69 | $49 | 70% | — | $8 – $163 |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $63 | $69 | $49 | 70% | — | $8 – $163 |
| 25 | Cigna commercial|ppo fee schedule · inpatient | $63 | $69 | $49 | 70% | — | $8 – $163 |
Last updated: Feb 28, 2026
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