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 HLA CLS I & II PRA/ID A
Hanover, PA
See all hospitals reporting CPT 86830 →Price type
UPMC Hanover’s median price of $168 is 68% above the median hospital's median price ($100), higher than 80% of the 1,566 hospitals reporting CPT 86830. 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 | UnitedHealthcare commercial facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Aetna aco facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Aetna commercial facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 6 | Humana medicare facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Aetna medicare facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Cigna medicare facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 10 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 12 | Highmark medicaid facility · fee schedule · outpatient | $212 | $212 | $105 | 49% | — | $108 – $317 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 14 | Highmark commercial facility · fee schedule · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $602 | $602 | — | — | — | $602 – $602 |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $602 | $602 | — | — | — | $602 – $602 |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
Last updated: Mar 6, 2026
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