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
Bolivia, NC
See all hospitals reporting CPT 86687 →Price type
Brunswick Community Hospital, LLC’s median price of $109 is 903% above the median hospital's median price ($11), higher than 96% 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: 11 payers, 28 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 blue medicare fee schedule · outpatient | $9.74 | $9.74 | $9.74 – $9.74 |
| 2 | Humana medicare fee schedule · outpatient | $9.74 | $9.74 | $9.74 – $9.74 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $9.74 | $9.74 | $9.74 – $9.74 |
| 4 | Aetna medicare fee schedule · outpatient | $9.98 | $9.98 | $9.98 – $9.98 |
| 5 | Cigna healthspring fee schedule · outpatient | $10.03 | $10.03 | $10.03 – $10.03 |
| 6 | Ambetter all plans fee schedule · outpatient | $21.92 | $21.92 | $21.92 – $21.92 |
| 7 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $40.06 | $40.06 | $21.82 – $58.30 |
| 8 | UnitedHealthcare medicaid fee schedule · outpatient | $40.06 | $40.06 | $21.82 – $58.30 |
| 9 | WellCare medicaid fee schedule · outpatient | $40.06 | $40.06 | $21.82 – $58.30 |
| 10 | Cigna aca fee schedule · outpatient | $109.37 | $109.37 | $59.58 – $159.15 |
| 11 | Caresource qualified health plan fee schedule · outpatient | $111.60 | $111.60 | $60.80 – $162.40 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $135.59 | $135.59 | $73.87 – $197.31 |
| 13 | Cigna commercial fee schedule · outpatient | $154.85 | $154.85 | $84.36 – $225.33 |
| 14 | UnitedHealthcare all payer fee schedule · outpatient | $171.02 | $171.02 | $93.17 – $248.87 |
| 15 | Blue Cross Blue Shield blue home fee schedule · outpatient | $173.54 | $173.54 | $94.54 – $252.53 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $173.54 | $173.54 | $94.54 – $252.53 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $173.54 | $173.54 | $94.54 – $252.53 |
| 18 | Aetna commercial fee schedule · outpatient | $193.07 | $193.07 | $105.18 – $280.95 |
| 19 | Medcost mbs fee schedule · outpatient | $210.08 | $210.08 | $114.45 – $305.71 |
| 20 | Aetna aca fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 22 | Aetna whole health non-multitier fee schedule · outpatient | $223.20 | $223.20 | $121.60 – $324.80 |
| 23 | Medcost non-mbs fee schedule · outpatient | $234.08 | $234.08 | $127.52 – $340.63 |
| 24 | Aetna first health fee schedule · outpatient | $237.15 | $237.15 | $129.20 – $345.10 |
| 25 | Aetna rental network products fee schedule · outpatient | $237.15 | $237.15 | $129.20 – $345.10 |
Last updated: Mar 30, 2026
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