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 INFLAM BOWEL DIS DIFFERENTN-A
Hanover, PA
See all hospitals reporting CPT 86021 →Price type
UPMC Hanover’s median price of $26 is 12% above the median hospital's median price ($24), higher than 54% of the 2,319 hospitals reporting CPT 86021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Aetna aco facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna commercial facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Humana medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Aetna medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Cigna medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | UnitedHealthcare medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Highmark medicaid facility · fee schedule · outpatient | $28 | $28 | $22 | 77% | — | $6 – $50 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Highmark commercial facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Mar 6, 2026
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