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
86677 H PYLORI AB QL 889
Peru, IN
See all hospitals reporting CPT 86677 →Price type
Dukes Health System LLC’s median price of $56 is 120% above the median hospital's median price ($25), higher than 75% of the 2,277 hospitals reporting CPT 86677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 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 | Anthem anthem in healthsync professional · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Anthem anthem in hmo ppo trad professional · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Anthem anthem in marketplace stld professional · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Caresource caresource in medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Anthem anthem in healthsync facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Anthem anthem in medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Caresource caresource hhw in medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 10 | Caresource caresource in hip facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Humana humana pathways in medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 12 | UnitedHealthcare uhc hcc in medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 13 | UnitedHealthcare uhc pathways in medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $34 | $28 | $11 | 40% | — | $8 – $34 |
| 15 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $36 | $30 | $12 | 40% | — | $9 – $36 |
| 16 | Humana node humana mcr adv facility · fee schedule · outpatient | $36 | $30 | $12 | 40% | — | $9 – $36 |
| 17 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $36 | $30 | $12 | 40% | — | $9 – $36 |
| 18 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $37 | $30 | $12 | 40% | — | $9 – $37 |
| 19 | Anthem anthem in hip facility · fee schedule · outpatient | $37 | $30 | $12 | 40% | — | $9 – $37 |
| 20 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $37 | $30 | $12 | 40% | — | $9 – $37 |
| 21 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $37 | $30 | $12 | 40% | — | $9 – $37 |
| 22 | Optum node united optum va ccn facility · per diem · outpatient | $37 | $30 | $12 | 40% | — | $9 – $37 |
| 23 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $56 | $45 | $18 | 41% | — | $14 – $56 |
| 24 | Anthem anthem in work comp facility · other · outpatient | $60 | $48 | $20 | 41% | — | $14 – $60 |
| 25 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $67 | $54 | $22 | 41% | — | $16 – $67 |
Last updated: Apr 1, 2026
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