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 HTLV I/II ANTIBODY, DONOR EVAL
Chalmette, LA
See all hospitals reporting CPT 86687 →Price type
Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana’s median price of $9 is 17% below the median hospital's median price ($11), higher than 6% 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: 12 payers, 12 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 | UnitedHealthcare all payor fee schedule · outpatient | $9.09 | $7.33 | $3.82 – $9.09 |
| 2 | Molina all payor fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 3 | Aetna Better Health all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Amerihealth Caritas all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Humana all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Optum all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | WellCare all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Tricare all payor fee schedule · outpatient | $9.94 | $9.94 | $9.94 – $9.94 |
| 9 | Aetna all payor fee schedule · outpatient | $13.24 | $13.24 | $9.09 – $17.39 |
| 10 | Bcbs La all payor fee schedule · outpatient | $25.33 | $23.96 | $9.09 – $29.33 |
| 11 | Cigna all payor percent of total billed charges · outpatientfrom % of charges | $30.63 | $30.63 | $30.63 – $30.63 |
| 12 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $33.80 | $33.80 | $33.80 – $33.80 |
Last updated: Apr 1, 2026
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