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
Varicella-Zoster Ab, Igg, S (Mayo)
Wadena, MN
See all hospitals reporting CPT 86787 →Price type
Astera Health’s median price of $94 is 315% above the median hospital's median price ($23), higher than 88% of the 2,674 hospitals reporting CPT 86787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 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 | Ucare ucare pmap [300063] fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
Last updated: Feb 20, 2026
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