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
HB Ref Fda, Htlv I Ab (Vc)
Geneva, IL
See all hospitals reporting CPT 86687 →Price type
Northwestern Medicine Delnor Hospital’s median price of $87 is 697% above the median hospital's median price ($11), higher than 95% 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: 7 payers, 14 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 | Blue Cross Blue Shield dch bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $25.93 | $22.10 | $14.45 – $25.93 |
| 2 | Blue Cross Blue Shield dch bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $25.93 | $22.10 | $14.45 – $25.93 |
| 3 | Aetna dch aetna nm employees percent of total billed charges · outpatientfrom % of charges | $28.36 | $24.18 | $15.81 – $28.36 |
| 4 | Blue Cross Blue Shield dch bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $31.32 | $26.70 | $17.46 – $31.32 |
| 5 | Blue Cross Blue Shield dch bcbs ppo percent of total billed charges · outpatientfrom % of charges | $40.54 | $34.56 | $22.60 – $40.54 |
| 6 | Blue Cross Blue Shield dch bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $97.27 | $82.92 | $54.22 – $97.27 |
| 7 | First Health dch first health percent of total billed charges · outpatientfrom % of charges | $120.06 | $102.35 | $66.93 – $120.06 |
| 8 | Blue Cross Blue Shield dch bcbs hmo percent of total billed charges · outpatientfrom % of charges | $121.31 | $103.42 | $67.63 – $121.31 |
| 9 | MultiPlan dch phcs percent of total billed charges · outpatientfrom % of charges | $130.50 | $111.25 | $72.75 – $130.50 |
| 10 | Cigna dch cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $139.20 | $118.67 | $77.60 – $139.20 |
| 11 | Beechstreet dch beech street/capp care percent of total billed charges · outpatientfrom % of charges | $156.60 | $133.50 | $87.30 – $156.60 |
| 12 | MultiPlan dch multiplan percent of total billed charges · outpatientfrom % of charges | $156.60 | $133.50 | $87.30 – $156.60 |
| 13 | MultiPlan dch non-contracted payors percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 14 | UnitedHealthcare dch uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
Last updated: Apr 1, 2026
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