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
Ab; Htlv-I 588
LAFAYETTE, IN
See all hospitals reporting CPT 86687 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $222 is 1936% 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: 9 payers, 18 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 anthem healthsync hmo with copps - lafayette fee schedule · both | $7.18 | $7.18 | $7.18 – $7.18 |
| 2 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $8.14 | $8.14 | $8.14 – $8.14 |
| 3 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Bcbs In anthem blue access ppo-cid fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Medicaid in mcd-wir-lafayette fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Medicare medicare-wir-lafayette fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $10.91 | $10.91 | $10.91 – $10.91 |
| 12 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $188.60 | $188.60 | $188.60 – $188.60 |
| 13 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $200.10 | $200.10 | $200.10 – $200.10 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $222.18 | $222.18 | $222.18 – $222.18 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $244.72 | $244.72 | $244.72 – $244.72 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $310.36 | $310.36 | $310.36 – $310.36 |
| 17 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $316.02 | $316.02 | $316.02 – $316.02 |
| 18 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $368.00 | $368.00 | $368.00 – $368.00 |
Last updated: Jan 1, 2026
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