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
HC RT CELIAC DISEASE PANEL 2 - DGP
Lancaster, PA
See all hospitals reporting CPT 86258 →Price type
Lancaster General Health’s median price of $35 is 95% above the median hospital's median price ($18), higher than 74% of the 2,384 hospitals reporting CPT 86258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 independence blue cross commercial facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 8 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Devoted devoted health medicare advantage facility · other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Oscar oscar health plan facility · other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 15 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Highmark highmark chip facility · other · outpatient | $13 | $25 | $17 | 70% | — | $13 – $49 |
| 17 | Highmark highmark aca facility · other · outpatient | $15 | $30 | $21 | 70% | — | $15 – $59 |
| 18 | Highmark highmark commercial preferred facility · other · outpatient | $17 | $34 | $24 | 70% | 1–10 | $17 – $68 |
| 19 | Cigna cigna new business facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Highmark highmark commercial facility · other · outpatient | $22 | $42 | $30 | 70% | — | $22 – $84 |
| 21 | Aetna aetna commercial facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 22 | Highmark highmark commercial non-preferred facility · other · outpatient | $26 | $51 | $36 | 70% | 19–28 | $26 – $102 |
| 23 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $42 | $82 | $57 | 70% | — | $42 – $162 |
| 24 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $46 | $91 | $63 | 70% | — | $46 – $180 |
| 25 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $47 | $92 | $64 | 70% | — | $47 – $183 |
Last updated: Mar 31, 2026
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