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
Redding, CA
See all hospitals reporting CPT 86790 →Price type
Dignity Health’s median price of $16 is 31% below the median hospital's median price ($24), higher than 35% of the 2,462 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, 21 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $15 | $15 | $1 | 8% | — | $11 – $15 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15 | $15 | $1 | 8% | — | $11 – $15 |
| 9 | UnitedHealthcare commercial|options fee schedule · outpatient | $15 | $15 | $1 | 8% | — | $11 – $15 |
| 10 | Anthem medicaid|all plans fee schedule · outpatient | $27 | $25 | $5 | 21% | — | $11 – $27 |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $36 | $44 | $22 | 51% | — | $11 – $72 |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $36 | $44 | $22 | 51% | — | $11 – $72 |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $36 | $44 | $22 | 51% | — | $11 – $72 |
| 14 | Anthem commercial|exchange fee schedule · outpatient | $28 | $46 | $38 | 83% | — | $8 – $142 |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $33 | $56 | $46 | 83% | 12–120 | $10 – $173 |
| 16 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $15 | $63 | $146 | 230% | — | $4 – $545 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $19 | $82 | $190 | 230% | — | $6 – $709 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $29 | $127 | $292 | 230% | — | $9 – $1.1k |
| 19 | Cigna commercial|ppo fee schedule · outpatient | $29 | $127 | $292 | 230% | — | $9 – $1.1k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $36 | $155 | $357 | 230% | — | $11 – $1.3k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $36 | $155 | $357 | 230% | — | $11 – $1.3k |
Last updated: Feb 28, 2026
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