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
WEST NILE AB, IGG - REF
Duluth, MN
See all hospitals reporting CPT 86789 →Price type
Essentia Health Duluth’s median price of $46 is 100% above the median hospital's median price ($23), higher than 74% of the 2,494 hospitals reporting CPT 86789. 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, 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 bcbs mn facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Healthpartners medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Medica medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Ucare medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 12 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 14 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 17 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 18 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 19 | Sanford Health Plan commercial facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 20 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 21 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $3 | 5% | — | $55 – $60 |
| 23 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 24 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 25 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
Last updated: Jan 1, 2026
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