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
O CD19
Puyallup, WA
See all hospitals reporting CPT 86355 →Price type
Good Samaritan Hospital’s median price of $39 is 24% below the median hospital's median price ($51), higher than 26% of the 2,445 hospitals reporting CPT 86355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 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 | Molina apple health fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Premera hmo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Premera prime fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Premera signature fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Regence blue high performance fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Regence mcc/ahn fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Aetna medadvantage fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Regence medadvantage fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 10 | UnitedHealthcare medadvantage fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 11 | Molina medadvantage fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 12 | WellCare medadvantage fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 13 | Regence realvalue fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Kaiser ppo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Regence commercial fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Cigna all commercial plans fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 17 | UnitedHealthcare all commercial plans fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 18 | Premera other commercial plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 19 | Ambetter coordinated care exchange fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 20 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 21 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 22 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 23 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 24 | Aetna all commercial plans fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
Last updated: Aug 27, 2026
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