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-HTLV PAN 51164
Red Bluff, CA
See all hospitals reporting CPT 86790 →Price type
Dignity Health’s median price of $21 is 10% below the median hospital's median price ($24), higher than 46% of the 2,476 hospitals reporting CPT 86790. 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, 29 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 | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $13 | $13 | $1 | 4% | — | $11 – $13 |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $25 | $23 | $4 | 18% | — | $11 – $25 |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $18 | $78 | $179 | 230% | — | $5 – $668 |
| 9 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $20 | $89 | $204 | 230% | — | $6 – $763 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $20 | $89 | $204 | 230% | — | $6 – $763 |
| 11 | Anthem commercial|all other plans fee schedule · outpatient | $22 | $95 | $219 | 230% | — | $7 – $818 |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $25 | $111 | $255 | 230% | — | $8 – $954 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $25 | $111 | $255 | 230% | — | $8 – $954 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $25 | $111 | $255 | 230% | — | $8 – $954 |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 16 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 19 | Cigna commercial|ppo fee schedule · inpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $26 | $116 | $266 | 230% | — | $8 – $995 |
| 21 | Aetna commercial|all other plans fee schedule · inpatient | $27 | $117 | $270 | 230% | — | $8 – $1.0k |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $27 | $117 | $270 | 230% | — | $8 – $1.0k |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $27 | $117 | $270 | 230% | — | $8 – $1.0k |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $33 | $143 | $328 | 230% | — | $10 – $1.2k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $33 | $143 | $328 | 230% | — | $10 – $1.2k |
Last updated: Feb 28, 2026
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