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
HC HTLV I ANTIBODY
Shelby, NC
See all hospitals reporting CPT 86687 →Price type
Atrium Health Hospitals Inc’s median price of $143 is 1211% above the median hospital's median price ($11), higher than 98% 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: 14 payers, 44 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 | Humana medicare advantage fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $9.41 | $9.41 | $9.41 – $9.41 |
| 3 | Cigna Healthspring medicare advantage fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $9.57 | $9.57 | $9.57 – $9.57 |
| 5 | Amerihealth Caritas managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 6 | UnitedHealthcare managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 7 | WellCare managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 8 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $40.35 | $40.35 | $40.35 – $40.35 |
| 9 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $41.12 | $41.12 | $41.12 – $41.12 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $59.85 | $59.85 | $59.85 – $59.85 |
| 11 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $75.78 | $75.78 | $75.78 – $75.78 |
| 12 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $86.64 | $86.64 | $86.64 – $86.64 |
| 13 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $88.87 | $88.87 | $88.87 – $88.87 |
| 14 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $89.02 | $89.02 | $89.02 – $89.02 |
| 15 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $91.33 | $91.33 | $91.33 – $91.33 |
| 16 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $103.80 | $103.80 | $103.80 – $103.80 |
| 17 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $105.23 | $105.23 | $105.23 – $105.23 |
| 18 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $109.80 | $109.80 | $109.80 – $109.80 |
| 19 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $114.95 | $114.95 | $114.95 – $114.95 |
| 20 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $117.13 | $117.13 | $117.13 – $117.13 |
| 21 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $123.82 | $123.82 | $123.82 – $123.82 |
| 22 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $123.82 | $123.82 | $123.82 – $123.82 |
| 23 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $132.97 | $132.97 | $132.97 – $132.97 |
| 24 | Cigna hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $148.12 | $148.12 | $148.12 – $148.12 |
| 25 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $149.84 | $149.84 | $149.84 – $149.84 |
Last updated: Dec 1, 2025
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