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
RCM I&R ONLY EA ADDL LESION
Biddeford, ME
See all hospitals reporting CPT 96936 →Price type
MaineHealth’s median price of $66 is 20% above the median hospital's median price ($55), higher than 58% of the 715 hospitals reporting CPT 96936. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 10 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 | UnitedHealthcare medicare advantage case rate · both | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Anthem medicare advantage case rate · both | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Aetna medicare advantage case rate · both | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Humana medicare advantage case rate · both | $46 | $46 | — | — | — | $46 – $46 |
| 5 | WellCare medicare advantage case rate · both | $46 | $46 | — | — | — | $46 – $46 |
| 6 | Aetna hmo fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Aetna ppo fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 8 | MultiPlan commercial fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 9 | UnitedHealthcare commercial fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Anthem hmo/pos/ppo/pathway enhanced fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Sep 9, 2025
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