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
HC HTLV I/II ANTIBODY, DONOR EVAL
Houma, LA
See all hospitals reporting CPT 86687 →Price type
Southern Regional Medical Corporation’s median price of $9 is 14% below the median hospital's median price ($11), higher than 27% 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: 12 payers, 12 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 | Molina all payor fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 2 | Tricare all payor fee schedule · outpatient | $8.38 | $8.38 | $8.15 – $8.60 |
| 3 | Humana all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Optum all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Aetna Better Health all payor fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 7 | Amerihealth Caritas all payor fee schedule · outpatient | $9.36 | $9.36 | $9.36 – $9.36 |
| 8 | Aetna all payor fee schedule · outpatient | $10.09 | $10.09 | $9.09 – $11.09 |
| 9 | Bcbs La all payor fee schedule · outpatient | $12.16 | $16.28 | $9.09 – $32.62 |
| 10 | Cigna all payor other · outpatient | $36.16 | $36.16 | $33.65 – $38.66 |
| 11 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $37.88 | $37.88 | $35.25 – $40.50 |
| 12 | First Health all payor other · outpatient | $40.40 | $40.40 | $37.60 – $43.20 |
Last updated: Apr 1, 2026
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