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 DONOR HTLV-I ANTIBODY
St. Paul, MN
See all hospitals reporting CPT 86687 →Price type
Fairview Bethesda Hospital’s median price of $20 is 84% above the median hospital's median price ($11), higher than 75% 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, 56 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 | Sanford Health Plan medicare advantage fee schedule · outpatient | $8.94 | $8.94 | $8.94 – $8.94 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $8.94 | $8.94 | $8.94 – $8.94 |
| 3 | WellCare medicare advantage fee schedule · outpatient | $8.94 | $8.94 | $8.94 – $8.94 |
| 4 | Ucare medicare advantage/msho fee schedule · outpatient | $9.07 | $9.07 | $9.07 – $9.07 |
| 5 | Bcbs Mn aware federal fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Medica minnesota care/accessability/choice care government fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Bcbs Mn commercial fee schedule · both | $9.25 | $9.25 | $9.25 – $9.25 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $9.30 | $9.30 | $9.30 – $9.30 |
| 9 | Medica medicare advantage fee schedule · outpatient | $9.48 | $9.48 | $9.48 – $9.48 |
| 10 | Ucare pmap fee schedule · both | $9.61 | $9.61 | $9.61 – $9.61 |
| 11 | Medica medicare advantage fee schedule · both | $9.64 | $9.71 | $9.64 – $9.84 |
| 12 | Ucare pmap fee schedule · outpatient | $9.85 | $9.85 | $9.85 – $9.85 |
| 13 | Medica msho fee schedule · both | $9.82 | $9.89 | $9.82 – $10.02 |
| 14 | Bcbs Mn managed medicaid fee schedule · both | $9.90 | $9.90 | $9.90 – $9.90 |
| 15 | Ucare individual and family with m health fairview fee schedule · outpatient | $15.73 | $15.73 | $15.73 – $15.73 |
| 16 | Medica bold fee schedule · both | $17.14 | $17.33 | $17.14 – $17.72 |
| 17 | UnitedHealthcare commercial fee schedule · both | $17.70 | $17.70 | $17.70 – $17.70 |
| 18 | UnitedHealthcare core fee schedule · both | $17.70 | $17.70 | $17.70 – $17.70 |
| 19 | Ucare individual and family fee schedule · both | $18.26 | $18.26 | $18.26 – $18.26 |
| 20 | Ucare individual and family with m health fairview fee schedule · both | $18.26 | $18.26 | $18.26 – $18.26 |
| 21 | Medica vantage si fee schedule · both | $18.56 | $18.77 | $18.56 – $19.20 |
| 22 | Medica city of st paul and essential/uplan fee schedule · both | $19.04 | $19.26 | $19.04 – $19.69 |
| 23 | Medica individual and family, elect fee schedule · both | $19.04 | $19.26 | $19.04 – $19.69 |
| 24 | Medica choice fee schedule · both | $19.71 | $19.93 | $19.71 – $20.38 |
| 25 | Ucare individual and family fee schedule · outpatient | $20.54 | $20.54 | $20.54 – $20.54 |
Last updated: Jan 29, 2026
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