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
Dodge City, KS
See all hospitals reporting CPT 86687 →Price type
Commonspirit Kansas, Inc.’s median price of $203 is 1759% above the median hospital's median price ($11), higher than 99% 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, 15 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 | Aetna managed medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Cigna managed medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Humana managed medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Medicare medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $51.61 | $51.61 | $51.61 – $51.61 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $202.87 | $202.87 | $202.87 – $202.87 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $202.87 | $202.87 | $202.87 – $202.87 |
| 10 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $215.82 | $215.82 | $215.82 – $215.82 |
| 11 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $246.65 | $246.65 | $246.65 – $246.65 |
| 12 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $246.65 | $246.65 | $246.65 – $246.65 |
| 13 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $246.65 | $246.65 | $246.65 – $246.65 |
| 14 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $277.48 | $277.48 | $277.48 – $277.48 |
| 15 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $277.48 | $277.48 | $277.48 – $277.48 |
Last updated: Feb 5, 2026
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