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
Hepatitis B Surf Ab Quant (LC)
Jackson, MS
See all hospitals reporting CPT 86317 →Price type
Jackson HMA LLC’s median price of $22 is 6% below the median hospital's median price ($23), higher than 46% of the 2,514 hospitals reporting CPT 86317. 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, 22 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 uhc apa facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | UnitedHealthcare uhc chip medicaid ms facility · case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Tricare node tricare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Molina molina medicaid ms facility · other · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Caresource caresource truecare facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Molina molina chip facility · other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Humana node humana mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Molina node molina mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Optum node united optum va ccn facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 16 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Molina molina exchange facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 20 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 21 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 22 | Aetna aetna pho facility · other · outpatient | $500 | $500 | — | — | — | $500 – $500 |
Last updated: Apr 1, 2026
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