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
86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)
LEXINGTON, MS
See all hospitals reporting CPT 86787 →Price type
Ummc Holmes County’s median price of $45 is 100% above the median hospital's median price ($23), higher than 72% of the 2,634 hospitals reporting CPT 86787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 13 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 mscan molina fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Molina molina childrens health insurance plan fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Cigna cigna commercial percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Tricare tricare percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 6 | UnitedHealthcare united healthcare medicare adv percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Ambetter insurance exchange by magnolia percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 8 | WellCare wellcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 9 | Devoted devoted health medicare lex percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 10 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Aetna aetna fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Phcs phcs network percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Molina molina marketplace percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
Last updated: Apr 1, 2026
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