Epstein-Barr nuclear antigen test at St. Charles Bend

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Analysis for antibody to Epstein-Barr virus (monon

Bend, OR

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Pricing by billing methodology

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How this price compares nationally

St. Charles Bend’s median price of $34 is 42% above the median hospital's median price ($24), higher than 64% of the 2,578 hospitals reporting CPT 86664. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86664 at St. Charles Bend

Negotiated rates from the hospital’s own file: 12 payers, 21 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	Kaiser health share cco fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
2	Tricare tricare fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
3	Aetna medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	Blue Cross Blue Shield blue cross ppo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
5	Cigna medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
6	Devoted medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
7	Humana medicare fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
8	Humana medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
9	Kaiser medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
10	Medicare medicare fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
11	Regence blue cross ppo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
12	UnitedHealthcare medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
13	WellCare medicare - non contracted fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
14	Blue Cross Blue Shield blue cross medicare fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
15	Kaiser oebb pebb non-contracted fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
16	Blue Cross Blue Shield blue cross individual fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
17	Cigna cigna percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	11	$62 – $62
18	Kaiser first choice health network percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
19	Aetna aetna percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	12	$85 – $85
20	UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	11	$91 – $91
21	First Health first health percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96

Last updated: Apr 1, 2026

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