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
Htlv I and II Antibodies
Perryville, MO
See all hospitals reporting CPT 86790 →Price type
Mercy Perry’s median price of $65 is 171% above the median hospital's median price ($24), higher than 77% of the 2,501 hospitals reporting CPT 86790. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 29 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 | Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $2 | 8% | — | $17 – $20 |
| 8 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 9 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 10 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 11 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 12 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 13 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $41 | $40 | $3 | 8% | — | $34 – $41 |
| 14 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $42 | $40 | $3 | 8% | — | $34 – $42 |
| 15 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $43 | $41 | $3 | 8% | — | $35 – $43 |
| 16 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $43 | $41 | $3 | 8% | — | $35 – $43 |
| 17 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $49 | $47 | $4 | 8% | — | $40 – $49 |
| 18 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $57 | $55 | $4 | 8% | — | $47 – $57 |
| 19 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $64 | $62 | $5 | 8% | — | $53 – $64 |
| 20 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $65 | $62 | $5 | 8% | — | $53 – $65 |
| 21 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 22 | Blue Cross Blue Shield hb pcmh anthem traditional facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 23 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $89 | $85 | $7 | 8% | — | $73 – $89 |
| 24 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $89 | $85 | $7 | 8% | — | $73 – $89 |
| 25 | Anthem hb pcmh anthem blue access facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
Last updated: Mar 12, 2026
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