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
HLA CLASS I&II ANTIBODY QUAL
Jasper, TX
See all hospitals reporting CPT 86828 →Price type
Southeast Texas - Jasper Memorial’s median price of $69 is 3% below the median hospital's median price ($71), higher than 47% of the 1,742 hospitals reporting CPT 86828. 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, 24 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 | UnitedHealthcare all payer fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Molina chip km fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 8 | Molina star km fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 9 | Molina star plus km fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 10 | Aetna mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Humana gold choice mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 15 | WellCare mm fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 16 | Devoted mm fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 17 | Humana choicecare fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Cigna new business fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 19 | Cigna ppo fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 20 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 21 | Bcbs Tx heb fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 22 | Bcbs Tx hmo fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 23 | Bcbs Tx ppo fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
Last updated: Jan 13, 2026
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