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
SM & RNP 1308
Monroeville, PA
See all hospitals reporting CPT 86235 →Price type
UPMC East’s median price of $151 is 389% above the median hospital's median price ($31), higher than 93% of the 2,679 hospitals reporting CPT 86235. 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, 40 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 unison advantage non special needs facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | UnitedHealthcare medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $19 | $19 | $0 | 2% | — | $19 – $20 |
| 4 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 7 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 8 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Highmark managed care - social mission facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 13 | Highmark managed care facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 14 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 15 | Highmark commercial - indemnity facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 16 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | $1 | 1% | — | $139 – $147 |
| 17 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $1 | 1% | — | $143 – $151 |
| 18 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | $1 | 1% | — | $147 – $156 |
| 19 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $160 | $160 | $1 | 1% | — | $151 – $160 |
| 20 | Highmark upmc emergent facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 21 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $169 | $169 | $1 | 1% | — | $160 – $169 |
| 22 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | $1 | 1% | — | $160 – $169 |
| 23 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | $1 | 1% | — | $160 – $170 |
| 24 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $174 | $173 | $1 | 1% | — | $164 – $174 |
| 25 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $174 | $173 | $1 | 1% | — | $164 – $174 |
Last updated: Mar 6, 2026
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