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 ANTIBODY
Monroe, NC
See all hospitals reporting CPT 86687 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $124 is 1035% above the median hospital's median price ($11), higher than 97% 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: 14 payers, 43 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 | Humana medicare advantage fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $9.41 | $9.41 | $9.41 – $9.41 |
| 3 | Cigna Healthspring medicare advantage fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $9.57 | $9.57 | $9.57 – $9.57 |
| 5 | Amerihealth Caritas managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 6 | UnitedHealthcare managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 7 | WellCare managed medicaid fee schedule · both | $10.45 | $10.45 | $10.45 – $10.45 |
| 8 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $37.46 | $37.46 | $37.46 – $37.46 |
| 9 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $38.17 | $38.17 | $38.17 – $38.17 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $38.32 | $38.32 | $38.32 – $38.32 |
| 11 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $69.43 | $69.43 | $69.43 – $69.43 |
| 12 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $75.78 | $75.78 | $75.78 – $75.78 |
| 13 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $80.81 | $80.81 | $80.81 – $80.81 |
| 14 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $85.24 | $85.24 | $85.24 – $85.24 |
| 15 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $86.64 | $86.64 | $86.64 – $86.64 |
| 16 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $103.80 | $103.80 | $103.80 – $103.80 |
| 17 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $106.34 | $106.34 | $106.34 – $106.34 |
| 18 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $113.52 | $113.52 | $113.52 – $113.52 |
| 19 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $114.95 | $114.95 | $114.95 – $114.95 |
| 20 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $116.38 | $116.38 | $116.38 – $116.38 |
| 21 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $119.24 | $119.24 | $119.24 – $119.24 |
| 22 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $123.82 | $123.82 | $123.82 – $123.82 |
| 23 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $123.82 | $123.82 | $123.82 – $123.82 |
| 24 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $128.39 | $128.39 | $128.39 – $128.39 |
| 25 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $130.97 | $130.97 | $130.97 – $130.97 |
Last updated: Dec 4, 2025
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