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 HEPATITIS B SURFACE AG QUAN
Cedar Rapids, IA
See all hospitals reporting CPT 87467 →Price type
St Luke's Methodist Hospital’s median price of $25 is 3% below the median hospital's median price ($26), higher than 18% of the 1,559 hospitals reporting CPT 87467. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 hmo fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 2 | UnitedHealthcare ppo fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $1 | 6% | — | $16 – $18 |
| 4 | Cigna commercial fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 5 | UnitedHealthcare hmo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | UnitedHealthcare ppo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Wellmark commercial fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Wellmark hmo fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Wellmark ppo fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Aetna medicare advantage case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Molina medicare advantage case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Wellmark medicare advantage case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Humana medicare advantage case rate · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 16 | UnitedHealthcare medicare advantage case rate · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Aetna hmo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 18 | Aetna ppo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
Last updated: Jan 28, 2026
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