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
GRAF 1 CBA
Muncy, PA
See all hospitals reporting CPT 86255 →Price type
UPMC Muncy’s median price of $114 is 371% above the median hospital's median price ($24), higher than 84% of the 2,630 hospitals reporting CPT 86255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 31 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 | Highmark medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Amerihealth Caritas community healthchoices (chc) facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 8 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 11 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 13 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 14 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $117 | $117 | — | — | — | $117 – $117 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 20 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 21 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 22 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 24 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 25 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
Last updated: Mar 6, 2026
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