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
H PYLORI AB IGG
Arlington, TX
See all hospitals reporting CPT 86677 →Price type
AMH Cath Labs LLC’s median price of $35 is 38% above the median hospital's median price ($25), higher than 63% of the 2,277 hospitals reporting CPT 86677. 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, 31 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Molina managed medicaid fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Humana medicare advantage case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Molina medicare advantage case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Aetna whole health fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Blue Cross Blue Shield hmo fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 19 | Aetna commercial fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 20 | Blue Cross Blue Shield ppo fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 21 | Cigna oap/hmo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 22 | Cigna ppo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $270 | $270 | — | — | — | $270 – $270 |
Last updated: Apr 21, 2026
See H. pylori antibody blood test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.