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 Hep. B Core Ab Igg/Igm *
Utica, NY
See all hospitals reporting CPT 86704 →Price type
MVHS, Inc.’s median price of $12 is 43% below the median hospital's median price ($21), higher than 6% of the 2,669 hospitals reporting CPT 86704. 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, 27 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 | Excellus excellus bcbs medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Excellus excellus bcbs medicare advantage fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 8 | Humana humana medicare advantage fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Medicare medicare fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Optum vaccn optum fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Aetna aetna medicare advantage fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Humana humana military fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Tricare humana military fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 15 | WellCare wellcare medicare advantage fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 16 | UnitedHealthcare uhc commercial fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 17 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $20 | $20 | $8 | 41% | — | $12 – $29 |
| 19 | Cigna mvp and cigna commercial fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 20 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $46 | $46 | $19 | 41% | — | $27 – $64 |
| 21 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $50 | $50 | $20 | 41% | — | $29 – $70 |
| 22 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $52 | $52 | $21 | 41% | — | $31 – $74 |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $52 | $52 | $21 | 41% | 4–40 | $31 – $74 |
| 24 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $52 | $52 | $21 | 41% | 18 | $31 – $74 |
| 25 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $52 | $52 | $21 | 41% | 2–20 | $31 – $74 |
Last updated: Aug 7, 2026
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