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 HTLV 1 ANTIBODY
Omaha, NE
See all hospitals reporting CPT 86687 →Price type
Alegent Health Immanuel Medical Center’s median price of $46 is 319% above the median hospital's median price ($11), higher than 88% of the 1,789 hospitals reporting CPT 86687. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 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 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Medica medicare|all plans fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Medica commercial|aco fee schedule · outpatient | $17.66 | $17.66 | $17.66 – $17.66 |
| 6 | Medica commercial|chi health fee schedule · outpatient | $18.69 | $18.69 | $18.69 – $18.69 |
| 7 | Medica commercial|all other plans fee schedule · outpatient | $19.57 | $19.57 | $19.57 – $19.57 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $35.29 | $35.29 | $35.29 – $35.29 |
| 9 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $72.94 | $72.94 | $72.94 – $72.94 |
| 10 | Medica commercial|open access fee schedule · outpatient | $270.92 | $270.92 | $270.92 – $270.92 |
| 11 | Phcs commercial|all plans fee schedule · inpatient | $369.91 | $369.91 | $369.91 – $369.91 |
| 12 | Phcs commercial|all plans fee schedule · outpatient | $390.75 | $390.75 | $390.75 – $390.75 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $442.85 | $442.85 | $442.85 – $442.85 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $442.85 | $442.85 | $442.85 – $442.85 |
Last updated: Feb 28, 2026
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