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-TICKPCR 2008670D
Mt Shasta, CA
See all hospitals reporting CPT 87469 →Price type
Dignity Health’s median price of $35 is 11% below the median hospital's median price ($39), higher than 10% of the 1,934 hospitals reporting CPT 87469. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 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 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Cigna commercial|all other plans fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Cigna commercial|ppo fee schedule · inpatient | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Cigna commercial|ppo fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $34 | $34 | — | — | — | $34 – $34 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Aetna commercial|all other plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Aetna commercial|hmo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Aetna commercial|all other plans fee schedule · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Aetna commercial|hmo fee schedule · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 18 | Aetna commercial|ppo fee schedule · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 20 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $39 | $39 | — | — | — | $39 – $39 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
Last updated: Feb 28, 2026
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