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 Human T-Cell Lymphotropic Virus Type I/II Antibody
Palos Heights, IL
See all hospitals reporting CPT 86687 →Price type
Palos Community Hospital’s median price of $97 is 789% 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: 8 payers, 18 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 ph bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $27.84 | $23.73 | $15.52 – $27.84 |
| 2 | Blue Cross Blue Shield ph bcbs bluechoice options select percent of total billed charges · outpatientfrom % of charges | $27.84 | $23.73 | $15.52 – $27.84 |
| 3 | Blue Cross Blue Shield ph bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $27.84 | $23.73 | $15.52 – $27.84 |
| 4 | Blue Cross Blue Shield ph bcbs ppo percent of total billed charges · outpatientfrom % of charges | $33.41 | $28.48 | $18.62 – $33.41 |
| 5 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $37.41 | $31.89 | $20.86 – $37.41 |
| 6 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $58.99 | $50.29 | $32.88 – $58.99 |
| 7 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $68.09 | $58.05 | $37.96 – $68.09 |
| 8 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $104.40 | $89.00 | $58.20 – $104.40 |
| 9 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $121.80 | $103.83 | $67.90 – $121.80 |
| 10 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $130.50 | $111.25 | $72.75 – $130.50 |
| 11 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $139.20 | $118.67 | $77.60 – $139.20 |
| 12 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $139.20 | $118.67 | $77.60 – $139.20 |
| 13 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 14 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 15 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 16 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 17 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $174.00 | $148.33 | $97.00 – $174.00 |
| 18 | UnitedHealthcare ph 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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