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 ib
Benton, AR
See all hospitals reporting CPT 86687 →Price type
Saline Memorial Hospital’s median price of $15 is 36% above the median hospital's median price ($11), higher than 65% 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: 4 payers, 9 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 | Bcbs Ar 1888_1 fee schedule · both | $10.23 | $10.23 | $10.23 – $10.23 |
| 2 | Blue Cross Blue Shield 1850_1 fee schedule · both | $10.23 | $10.23 | $10.23 – $10.23 |
| 3 | Blue Cross Blue Shield 1851_1 fee schedule · both | $10.23 | $10.23 | $10.23 – $10.23 |
| 4 | Blue Cross Blue Shield 1885_1 fee schedule · both | $10.23 | $10.23 | $10.23 – $10.23 |
| 5 | Cigna 1009_1 fee schedule · both | $14.82 | $14.82 | $14.82 – $14.82 |
| 6 | UnitedHealthcare 1241_1 fee schedule · both | $14.82 | $14.82 | $14.82 – $14.82 |
| 7 | UnitedHealthcare 1244_1 fee schedule · both | $14.82 | $14.82 | $14.82 – $14.82 |
| 8 | UnitedHealthcare 1248_1 fee schedule · both | $14.82 | $14.82 | $14.82 – $14.82 |
| 9 | UnitedHealthcare 1258_1 fee schedule · both | $14.82 | $14.82 | $14.82 – $14.82 |
Last updated: Jul 17, 2026
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