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
HCHG HEPATITIS E VIRUS AB (IGM) QUEST
Rapids, MN
See all hospitals reporting CPT 86790 →Price type
Allina Health Systems’s median price of $43 is 80% above the median hospital's median price ($24), higher than 67% of the 2,501 hospitals reporting CPT 86790. 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, 28 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 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Medicare medicare (m) facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Medica medica medicare (m) facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | $10 | 33% | — | $14 – $44 |
| 9 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $32 | $33 | $11 | 33% | — | $15 – $49 |
| 10 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Bcbs Mn bc premier (m u) facility · other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $50 | $52 | $17 | 33% | — | $24 – $77 |
| 15 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $54 | $55 | $18 | 33% | — | $26 – $82 |
| 16 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $65 | $21 | 33% | — | $30 – $97 |
| 17 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $78 | $80 | $26 | 33% | — | $37 – $120 |
| 18 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $84 | $86 | $28 | 33% | — | $40 – $129 |
| 19 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $87 | $89 | $29 | 33% | — | $41 – $133 |
| 20 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $100 | $103 | $34 | 33% | — | $48 – $153 |
| 21 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $106 | $109 | $36 | 33% | — | $51 – $163 |
| 22 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $111 | $114 | $37 | 33% | — | $53 – $170 |
| 23 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $111 | $114 | $37 | 33% | — | $53 – $170 |
| 24 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $114 | $117 | $39 | 33% | — | $54 – $175 |
| 25 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $117 | $120 | $39 | 33% | — | $55 – $179 |
Last updated: Jun 17, 2026
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