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-TOXO PAN 50521A
Merced, CA
See all hospitals reporting CPT 86777 →Price type
Dignity Health’s median price of $14 is 41% below the median hospital's median price ($23), higher than 6% of the 2,540 hospitals reporting CPT 86777. 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 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $4 | $9 | $8 | 90% | — | $3 – $23 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $5 | $12 | $10 | 90% | — | $3 – $31 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $14 | $12 | $2 | 20% | — | $9 – $14 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $14 | $13 | $4 | 27% | — | $9 – $17 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $14 | $13 | $4 | 27% | — | $9 – $17 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $14 | $13 | $4 | 27% | — | $9 – $17 |
| 12 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $14 | $13 | $4 | 27% | — | $9 – $17 |
| 13 | Anthem medicaid|< 21 fee schedule · outpatient | $14 | $14 | $4 | 27% | — | $9 – $18 |
| 14 | Anthem medicaid|> 21 fee schedule · outpatient | $14 | $14 | $4 | 27% | — | $9 – $18 |
| 15 | Kaiser medicaid|< 21 fee schedule · outpatient | $14 | $14 | $4 | 29% | — | $9 – $18 |
| 16 | Kaiser medicaid|> 21 fee schedule · outpatient | $14 | $14 | $4 | 29% | — | $9 – $18 |
| 17 | Molina medicaid|< 21 fee schedule · outpatient | $14 | $14 | $4 | 29% | — | $9 – $18 |
| 18 | Molina medicaid|> 21 fee schedule · outpatient | $14 | $14 | $4 | 29% | — | $9 – $18 |
| 19 | Cigna commercial|all other plans fee schedule · inpatient | $9 | $19 | $17 | 90% | — | $6 – $51 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $9 | $19 | $17 | 90% | — | $6 – $51 |
| 21 | Cigna commercial|ppo fee schedule · inpatient | $9 | $19 | $17 | 90% | — | $6 – $51 |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $9 | $19 | $17 | 90% | — | $6 – $51 |
| 23 | Anthem commercial|exchange fee schedule · outpatient | $9 | $20 | $18 | 90% | — | $6 – $54 |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $10 | $20 | $18 | 90% | — | $6 – $54 |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $10 | $20 | $18 | 90% | — | $6 – $54 |
Last updated: Feb 28, 2026
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