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-BC-PRETR SER W/DRGS
Merced, CA
See all hospitals reporting CPT 86975 →Price type
Dignity Health’s median price of $260 is 28% below the median hospital's median price ($360), higher than 40% of the 1,566 hospitals reporting CPT 86975. 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Aetna commercial|all other plans fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Aetna commercial|hmo fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Aetna commercial|ppo fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 14 | Anthem commercial|mcs fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 17 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 18 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 19 | Cigna commercial|all other plans fee schedule · inpatient | $341 | $341 | — | — | — | $341 – $341 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 21 | Cigna commercial|ppo fee schedule · inpatient | $341 | $341 | — | — | — | $341 – $341 |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 23 | Kaiser commercial|all plans fee schedule · inpatient | $362 | $362 | — | — | — | $362 – $362 |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $362 | $362 | — | — | — | $362 – $362 |
| 25 | First Health commercial|all plans fee schedule · inpatient | $420 | $420 | — | — | — | $420 – $420 |
Last updated: Feb 28, 2026
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