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
HTLV-I ANTIBODY
Tustin, CA
See all hospitals reporting CPT 86687 →Price type
Alta Newport Hospital, LLC’s median price of $9 is 15% below the median hospital's median price ($11), higher than 23% 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: 8 payers, 15 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $0.27 | $0.27 | $0.27 – $0.27 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $0.31 | $0.31 | $0.31 – $0.31 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $0.34 | $0.34 | $0.34 – $0.34 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Bcbs Ca medicare advantage facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Humana medicare advantage facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Optum commercial hmo facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | UnitedHealthcare managed care facility · fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 11 | Aetna exchange facility · case rate · outpatient | $11.82 | $11.82 | $11.82 – $11.82 |
| 12 | Cigna hmo/ppo facility · fee schedule · outpatient | $15.72 | $15.72 | $15.72 – $15.72 |
| 13 | Anthem medicare advantage facility · fee schedule · outpatient | $18.63 | $18.63 | $18.63 – $18.63 |
| 14 | Aetna all gatekeeper plans facility · case rate · outpatient | $24.99 | $24.99 | $24.99 – $24.99 |
| 15 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $24.99 | $24.99 | $24.99 – $24.99 |
Last updated: Mar 18, 2026
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