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
HB Ref Epstein-Barr Capsid Vca
Low
$0
Average
$59
Median
$39
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1466 hospitals; the 90th percentile is 6.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,160 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 9 | $36 | $77 | $83 | 108% | 2,464–2,554 | $10 – $323 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $60 | $18 | 31% | 635–680 | $41 – $78 |
| 3 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $57 | $57 | $0 | 0% | 430 | $57 – $57 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $73 | $80 | $12 | 16% | 382–418 | $61 – $94 |
| 5 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 6 | $27 | $34 | $19 | 55% | 341–350 | $18 – $70 |
| 6 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 6 | $27 | $34 | $19 | 55% | 341–350 | $18 – $70 |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | 135 | $126 – $126 |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | 135 | $126 – $126 |
| 9 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $1 | 1% | 127–172 | $107 – $109 |
| 10 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $43 | $34 | $12 | 35% | 112–148 | $19 – $43 |
| 11 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $18 | $18 | — | — | 87 | $18 – $18 |
| 12 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $43 | $43 | $0 | 0% | 86–122 | $43 – $43 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $183 | $203 | $81 | 40% | 78 | $124 – $359 |
| 14 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · both | 4 | $22 | $49 | $35 | 71% | 76 | $18 – $90 |
| 15 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN fee schedule · outpatient | 2 | $42 | $42 | $2 | 4% | 60 | $40 – $44 |
| 16 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | — | — | 58 | $70 – $70 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $17 | $17 | — | — | 54 | $17 – $17 |
| 18 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 52 | $138 – $138 |
| 19 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 48 | $48 – $48 |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $149 | $129 | $44 | 34% | 41–86 | $35 – $162 |
| 21 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $120 | $13 | 11% | 38–56 | $101 – $129 |
| 22 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $64 | $3 | 4% | 38–254 | $62 – $68 |
| 23 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | 38 | $87 – $87 |
| 24 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 36 | $73 – $73 |
| 25 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · bothfrom % of charges | 5 | $90 | $91 | $7 | 7% | 33–69 | $80 – $101 |
← Payers reporting CPT 86665 · Snapshot 20261111T120946Z-9134e7f7