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
EB VIRUS-EBNA 86664
Wheaton, MN
See all hospitals reporting CPT 86664 →Price type
Sanford Wheaton’s median price of $79 is 226% above the median hospital's median price ($24), higher than 84% of the 2,614 hospitals reporting CPT 86664. 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, 26 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 Mn pmap percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 3% | — | $22 – $23 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $47 | $47 | $2 | 3% | — | $45 – $48 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $2 | 3% | — | $49 – $52 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $2 | 3% | — | $49 – $52 |
| 5 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $2 | 3% | — | $49 – $52 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $2 | 3% | — | $49 – $52 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $2 | 3% | — | $62 – $66 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $73 | $73 | $2 | 3% | — | $71 – $76 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $2 | 3% | — | $71 – $76 |
| 10 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $78 | $78 | $3 | 3% | — | $75 – $80 |
| 11 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $78 | $78 | $3 | 3% | — | $75 – $80 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $81 | $81 | $3 | 3% | — | $78 – $83 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $3 | 3% | — | $78 – $83 |
| 14 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $82 | $82 | $3 | 3% | — | $79 – $84 |
| 15 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $82 | $82 | $3 | 3% | — | $79 – $84 |
| 16 | Medica choice percent of total billed charges · outpatientfrom % of charges | $82 | $82 | $3 | 3% | — | $79 – $84 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $82 | $82 | $3 | 3% | — | $80 – $85 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $84 | $84 | $3 | 3% | — | $81 – $86 |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $84 | $84 | $3 | 3% | — | $81 – $86 |
| 20 | Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $3 | 3% | — | $83 – $89 |
| 21 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $86 | $86 | $3 | 3% | — | $84 – $89 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $3 | 3% | — | $84 – $89 |
| 23 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $86 | $86 | $3 | 3% | — | $84 – $89 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $3 | 3% | — | $84 – $89 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $3 | 3% | — | $85 – $90 |
Last updated: Mar 4, 2026
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