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
West Jordan, UT
See all hospitals reporting CPT 86687 →Price type
Catholic Health Initiatives Colorado’s median price of $71 is 550% above the median hospital's median price ($11), higher than 93% 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: 8 payers, 35 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 | Regence commercial savewell fee schedule · outpatient | $6.27 | $6.27 | $6.27 – $6.27 |
| 2 | Aetna managed medicaid fee schedule · outpatient | $7.73 | $7.73 | $7.73 – $7.73 |
| 3 | Molina managed medicaid fee schedule · outpatient | $7.73 | $7.73 | $7.73 – $7.73 |
| 4 | Regence commercial uvu fee schedule · outpatient | $7.73 | $7.73 | $7.73 – $7.73 |
| 5 | Cigna commercial local plus fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 6 | Humana managed medicare fee schedule · outpatient | $8.91 | $8.91 | $8.91 – $8.91 |
| 7 | Medicare managed medicare fee schedule · outpatient | $8.91 | $8.91 | $8.91 – $8.91 |
| 8 | Medicare medicare fee schedule · outpatient | $8.91 | $8.91 | $8.91 – $8.91 |
| 9 | Regence commercial par fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Regence commercial ppo fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | Cigna commercial hmo/nbp/oap fee schedule · outpatient | $9.50 | $9.50 | $9.50 – $9.50 |
| 12 | UnitedHealthcare commercial ppo/pos/hmo case rate · outpatient | $10.55 | $10.55 | $10.55 – $10.55 |
| 13 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $18.53 | $18.53 | $18.53 – $18.53 |
| 14 | Cigna commercial all other fee schedule · outpatient | $25.05 | $25.05 | $25.05 – $25.05 |
| 15 | Regence commercial savewell percent of total billed charges · inpatientfrom % of charges | $56.65 | $56.65 | $56.65 – $56.65 |
| 16 | Molina commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $65.41 | $65.41 | $65.41 – $65.41 |
| 17 | Aetna commercial peak performance percent of total billed charges · inpatientfrom % of charges | $67.29 | $67.29 | $67.29 – $67.29 |
| 18 | Aetna commercial peak performance percent of total billed charges · outpatientfrom % of charges | $67.29 | $67.29 | $67.29 – $67.29 |
| 19 | Regence commercial uvu percent of total billed charges · inpatientfrom % of charges | $69.79 | $69.79 | $69.79 – $69.79 |
| 20 | Aetna commercial standard network percent of total billed charges · inpatientfrom % of charges | $80.27 | $80.27 | $80.27 – $80.27 |
| 21 | Aetna commercial standard network percent of total billed charges · outpatientfrom % of charges | $80.27 | $80.27 | $80.27 – $80.27 |
| 22 | Regence commercial ppo percent of total billed charges · inpatientfrom % of charges | $82.10 | $82.10 | $82.10 – $82.10 |
| 23 | Regence commercial par percent of total billed charges · inpatientfrom % of charges | $91.39 | $91.39 | $91.39 – $91.39 |
| 24 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $105.10 | $105.10 | $105.10 – $105.10 |
| 25 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $105.10 | $105.10 | $105.10 – $105.10 |
Last updated: Feb 11, 2026
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