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 1/2 Ab W/Refx Wbq
Eureka, IL
See all hospitals reporting CPT 86790 →Price type
Carle Eureka Hospital’s median price of $35 is 45% above the median hospital's median price ($24), higher than 61% of the 2,501 hospitals reporting CPT 86790. 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, 21 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-medicaid (d-snp) fee schedule · inpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $16 | $16 | $5 | 28% | — | $8 – $23 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $5 | 28% | — | $8 – $23 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $16 | $16 | $5 | 28% | — | $8 – $23 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $36 | $37 | $10 | 28% | — | $18 – $51 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $36 | $37 | $10 | 28% | — | $18 – $51 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $36 | $37 | $10 | 28% | — | $18 – $51 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $36 | $37 | $10 | 28% | — | $18 – $51 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $38 | $39 | $11 | 28% | — | $19 – $55 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $49 | $50 | $14 | 28% | — | $25 – $70 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $49 | $50 | $14 | 28% | — | $25 – $70 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $49 | $51 | $14 | 28% | — | $25 – $71 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $53 | $54 | $15 | 28% | — | $26 – $75 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $53 | $54 | $15 | 28% | — | $26 – $75 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $53 | $55 | $15 | 28% | — | $27 – $76 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $60 | $61 | $17 | 28% | — | $30 – $86 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $67 | $69 | $19 | 28% | 12–120 | $34 – $96 |
Last updated: Apr 15, 2026
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