Epstein-Barr nuclear antigen 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

S/O EBV EBNA IGG

Gilbert, AZ

See all hospitals reporting CPT 86664 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $18 is 23% below the median hospital's median price ($24), higher than 37% of the 2,578 hospitals reporting CPT 86664. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86664 at Dignity Health

Negotiated rates from the hospital’s own file: 7 payers, 26 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare commercial\|dignityhealthemployee fee schedule · outpatient	$12	$12	$3	29%	—	$9 – $15
2	Aetna medicare\|all plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
3	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	Cigna medicare\|all plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
5	First Health medicare\|all plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
6	Humana medicare\|all plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
7	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
8	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
9	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$18	$18	—	—	2–20	$18 – $18
10	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$18	$18	—	—	2–20	$18 – $18
11	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
12	Cigna commercial\|exchange fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
13	Cigna commercial\|localplus surefit fee schedule · outpatient	$34	$34	—	—	2–20	$34 – $34
14	Blue Cross Blue Shield commercial\|maricopafocus fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
15	Blue Cross Blue Shield commercial\|neighborhood fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
16	Cigna commercial\|all other plans fee schedule · outpatient	$45	$45	—	—	2–20	$45 – $45
17	Cigna commercial\|ppo fee schedule · outpatient	$45	$45	—	—	2–20	$45 – $45
18	First Health commercial\|all plans fee schedule · inpatient	$46	$46	$13	29%	—	$33 – $59
19	First Health commercial\|all plans fee schedule · outpatient	$46	$46	$13	29%	—	$33 – $59
20	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$52	$52	—	—	2–20	$52 – $52
21	MultiPlan commercial\|all plans fee schedule · inpatient	$66	$66	$19	29%	—	$47 – $85
22	MultiPlan commercial\|all plans fee schedule · outpatient	$66	$66	$19	29%	—	$47 – $85
23	Blue Cross Blue Shield commercial\|workers comp fee schedule · outpatient	$69	$69	$8	12%	—	$61 – $77
24	Aetna commercial\|all other plans fee schedule · outpatient	$69	$69	$8	12%	2–20	$61 – $78
25	Aetna commercial\|hmo fee schedule · outpatient	$69	$69	$8	12%	2–20	$61 – $78

Page 1 of 2 · 26 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Epstein-Barr nuclear antigen test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.