Herpes simplex type 2 test at Dignity Health

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.

Generation details were not recorded for this description.

Original text from hospital filings

RL-A-HSV 2 GLYCO G IGG

Carmichael, CA

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How this price compares nationally

Dignity Health’s median price of $14 is 55% below the median hospital's median price ($30), higher than 2% of the 2,575 hospitals reporting CPT 86696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86696 at Dignity Health

Negotiated rates from the hospital’s own file: 10 payers, 39 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 commercial\|aco trio fee schedule · outpatient	$5	$5	$1	12%	—	$4 – $5
2	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · outpatient	$6	$6	$1	12%	—	$5 – $7
3	Kaiser medicaid\|all plans fee schedule · outpatient	$6	$6	$1	12%	—	$6 – $7
4	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$6	$6	$1	12%	—	$6 – $7
5	Kaiser commercial\|all plans fee schedule · outpatient	$8	$8	$1	12%	—	$7 – $9
6	Blue Cross Blue Shield commercial\|ppo tandem fee schedule · outpatient	$8	$8	$1	12%	—	$7 – $10
7	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$9	$9	$1	12%	—	$8 – $10
8	Blue Cross Blue Shield commercial\|calpers fee schedule · outpatient	$10	$10	$1	12%	—	$8 – $11
9	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$10	$10	$1	12%	—	$9 – $11
10	First Health commercial\|all plans fee schedule · inpatient	$12	$12	$1	12%	—	$10 – $13
11	First Health commercial\|all plans fee schedule · outpatient	$12	$12	$1	12%	—	$10 – $13
12	Anthem commercial\|connection epo fee schedule · outpatient	$12	$12	$2	12%	—	$11 – $14
13	MultiPlan commercial\|all plans fee schedule · inpatient	$13	$13	$2	12%	—	$11 – $14
14	MultiPlan commercial\|all plans fee schedule · outpatient	$13	$13	$2	12%	—	$11 – $14
15	Anthem medicare\|all other plans fee schedule · outpatient	$15	$15	$2	12%	—	$13 – $16
16	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
17	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
18	Aetna commercial\|all other plans fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
19	Aetna commercial\|hmo fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
20	Aetna commercial\|ppo fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
21	Aetna medicare\|all plans fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
22	Anthem commercial\|all other plans fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
23	Anthem commercial\|mcs fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
24	Anthem medicaid\|all plans fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17
25	Blue Cross Blue Shield medicare\|hmo fee schedule · outpatient	$15	$15	$2	12%	—	$14 – $17

Page 1 of 2 · 39 rates

Last updated: Feb 28, 2026

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