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
SS Quantity - 5
Wayne, IN
See all hospitals reporting CPT 86870 →Price type
St. Joseph Health System, LLC’s median price of $458 is 47% above the median hospital's median price ($312), higher than 84% of the 2,626 hospitals reporting CPT 86870. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 46 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 | Anthem anthem in healthsync professional · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Anthem anthem in hmo ppo trad professional · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Anthem anthem in marketplace stld professional · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Anthem anthem in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 5 | Caresource caresource hhw in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 6 | Caresource caresource in hip facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 7 | Humana humana pathways in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 8 | Medicaid in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 9 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 10 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 11 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $284 | $284 | $86 | 30% | — | $198 – $370 |
| 12 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $86 | 30% | — | $198 – $370 |
| 13 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $319 | $319 | $97 | 30% | — | $222 – $416 |
| 14 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $319 | $319 | $97 | 30% | — | $222 – $416 |
| 15 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $319 | $319 | $97 | 30% | — | $222 – $416 |
| 16 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 17 | Tricare node tricare facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 18 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 19 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 20 | Humana node humana mcr adv facility · fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 21 | Anthem anthem in hip facility · fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 22 | Optum node united optum va ccn facility · per diem · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 23 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 24 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $404 | $404 | $123 | 30% | — | $282 – $527 |
| 25 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $404 | $404 | $123 | 30% | — | $282 – $527 |
Last updated: Apr 1, 2026
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