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
COVID-19 IGG QUALITATIVE BY CIA 3002776 R1
Arlington, TX
See all hospitals reporting CPT 86769 →Price type
AMH Cath Labs LLC’s median price of $59 is 23% above the median hospital's median price ($48), higher than 63% of the 2,482 hospitals reporting CPT 86769. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Molina managed medicaid fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Humana medicare advantage case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Molina medicare advantage case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 16 | Cigna oap/hmo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 17 | Cigna ppo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 18 | Blue Cross Blue Shield exchange fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 19 | Blue Cross Blue Shield hmo fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 20 | Blue Cross Blue Shield ppo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 21 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $99 | $99 | $21 | 21% | — | $78 – $120 |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $21 | 21% | — | $79 – $121 |
| 23 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $21 | 21% | — | $79 – $121 |
| 24 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $106 | $106 | $22 | 21% | — | $84 – $128 |
| 25 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $124 | $124 | $26 | 21% | — | $98 – $150 |
Last updated: Apr 21, 2026
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