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
EPSTEIN-BARR AB, EA
Birmingham, AL
See all hospitals reporting CPT 86663 →Price type
Affinity Hospital LLC’s median price of $28 is 37% above the median hospital's median price ($20), higher than 62% of the 2,489 hospitals reporting CPT 86663. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 22 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 | Tricare node tricare facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Humana node humana mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Optum node united optum va ccn facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Clover node clover health mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 11 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Aetna aetna all facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Bcbs Al bcbs al all facility · other · outpatient | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 14 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Cigna cigna all facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 17 | First Health first health facility · other · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 22 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
Last updated: Apr 1, 2026
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