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 RH GROUP
Puyallup, WA
See all hospitals reporting CPT 86901 →Price type
Good Samaritan Hospital’s median price of $60 is 64% above the median hospital's median price ($37), higher than 86% of the 2,579 hospitals reporting CPT 86901. 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 | $3.05 | $3.05 | $3.05 – $3.05 |
| 2 | Kaiser ppo fee schedule · outpatient | $3.29 | $3.29 | $3.29 – $3.29 |
| 3 | UnitedHealthcare apple health fee schedule · outpatient | $3.29 | $3.29 | $3.29 – $3.29 |
| 4 | Aetna medadvantage fee schedule · outpatient | $44.00 | $44.00 | $44.00 – $44.00 |
| 5 | Regence medadvantage fee schedule · outpatient | $44.00 | $44.00 | $44.00 – $44.00 |
| 6 | UnitedHealthcare medadvantage fee schedule · outpatient | $44.43 | $44.43 | $44.43 – $44.43 |
| 7 | Molina medadvantage fee schedule · outpatient | $44.86 | $44.86 | $44.86 – $44.86 |
| 8 | WellCare medadvantage fee schedule · outpatient | $44.86 | $44.86 | $44.86 – $44.86 |
| 9 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $45.26 | $45.26 | $45.26 – $45.26 |
| 10 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $45.26 | $45.26 | $45.26 – $45.26 |
| 11 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $56.94 | $56.94 | $56.94 – $56.94 |
| 12 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $56.94 | $56.94 | $56.94 – $56.94 |
| 13 | Premera hmo fee schedule · outpatient | $63.62 | $63.62 | $63.62 – $63.62 |
| 14 | Ambetter coordinated care exchange fee schedule · outpatient | $85.44 | $85.44 | $85.44 – $85.44 |
| 15 | Regence blue high performance fee schedule · outpatient | $131.66 | $131.66 | $131.66 – $131.66 |
| 16 | Regence mcc/ahn fee schedule · outpatient | $131.66 | $131.66 | $131.66 – $131.66 |
| 17 | Regence realvalue fee schedule · outpatient | $135.42 | $135.42 | $135.42 – $135.42 |
| 18 | Premera signature fee schedule · outpatient | $146.53 | $146.53 | $146.53 – $146.53 |
| 19 | Premera prime fee schedule · outpatient | $149.83 | $149.83 | $149.83 – $149.83 |
| 20 | Regence commercial fee schedule · outpatient | $150.47 | $150.47 | $150.47 – $150.47 |
| 21 | Cigna all commercial plans fee schedule · outpatient | $179.28 | $179.28 | $179.28 – $179.28 |
| 22 | Aetna all commercial plans fee schedule · outpatient | $183.12 | $183.12 | $183.12 – $183.12 |
| 23 | Premera other commercial plans fee schedule · outpatient | $184.15 | $184.15 | $184.15 – $184.15 |
| 24 | UnitedHealthcare all commercial plans fee schedule · outpatient | $190.58 | $190.58 | $190.58 – $190.58 |
Last updated: Aug 27, 2026
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