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
CHG HTLV I
Madison, WI
See all hospitals reporting CPT 86687 →Price type
Meriter Hospital, Inc’s median price of $35 is 216% above the median hospital's median price ($11), higher than 85% 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: 5 payers, 15 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 commercial fee schedule · both | $5.45 | $5.45 | $5.45 – $5.45 |
| 2 | Anthem blue priority/pathway case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Anthem hmo/pos case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Anthem medicare advantage case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Anthem ppo case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Humana medicare advantage case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | UnitedHealthcare medicare advantage case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Wellmark commercial case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Anthem blue priority/pathway percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 10 | Anthem hmo/pos percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 11 | Anthem ppo percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 12 | Wellmark commercial percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 13 | Cigna commercial percent of total billed charges · bothfrom % of charges | $42.00 | $42.00 | $42.00 – $42.00 |
| 14 | UnitedHealthcare medicare advantage percent of total billed charges · bothfrom % of charges | $60.00 | $60.00 | $60.00 – $60.00 |
| 15 | Anthem traditional percent of total billed charges · bothfrom % of charges | $142.50 | $142.50 | $142.50 – $142.50 |
Last updated: Jan 28, 2026
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