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
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid
Glendale, CA
See all hospitals reporting CPT 86665 →Price type
Glendale Adventist Medical Center’s median price of $9 is 70% below the median hospital's median price ($30), higher than 2% of the 2,666 hospitals reporting CPT 86665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 3 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 4 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 5 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 8 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Medicaid medi-cal fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Molina molina mcal fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Blue Cross Blue Shield tricare blue shield - all plans other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Molina molina mcr other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 17 | UnitedHealthcare uhc mcr adv other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Blue Cross Blue Shield blue cross mcr adv other · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Molina molina exchange - all other plans other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 20 | Cigna cigna all other - all other plans fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 21 | Cigna cigna hmo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 22 | Aetna aetna - all plans fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 23 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 24 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 25 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
Last updated: Jul 30, 2026
See Epstein-Barr virus capsid antibody test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.