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
HB-Bmt Donor, Htlv I
Madison, WI
See all hospitals reporting CPT 86687 →Price type
University of Wisconsin Hospital and Clinics Authority’s median price of $54 is 399% above the median hospital's median price ($11), higher than 90% 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: 10 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 | Aetna hmo/ppo fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 2 | Aetna Better Health aetna better health il fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 3 | Anthem anthem medicare adv fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 4 | Humana humana medicare adv fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 5 | Molina molina choice care hmo fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 6 | Molina my choice wi fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 7 | UnitedHealthcare united healthcare medicare adv plans fee schedule | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Devoted hmo/pos fee schedule | $9.27 | $9.27 | $9.27 – $9.27 |
| 9 | Anthem blue_priority/pathway fee schedule | $45.45 | $45.45 | $45.45 – $45.45 |
| 10 | Anthem hmo/pos fee schedule | $50.00 | $50.00 | $50.00 – $50.00 |
| 11 | UnitedHealthcare nexus percent of total billed chargesfrom % of charges | $53.80 | $53.80 | $53.80 – $53.80 |
| 12 | Cigna oap/ppo/epo percent of total billed chargesfrom % of charges | $56.34 | $56.34 | $56.34 – $56.34 |
| 13 | Optum optum_behavioral_health percent of total billed chargesfrom % of charges | $58.78 | $58.78 | $58.78 – $58.78 |
| 14 | UnitedHealthcare nonoptions percent of total billed chargesfrom % of charges | $58.78 | $58.78 | $58.78 – $58.78 |
| 15 | Aetna aetna_w percent of total billed chargesfrom % of charges | $66.95 | $66.95 | $66.95 – $66.95 |
| 16 | Anthem ppo percent of total billed chargesfrom % of charges | $67.50 | $67.50 | $67.50 – $67.50 |
| 17 | MultiPlan healtheos/phcs percent of total billed chargesfrom % of charges | $75.12 | $75.12 | $75.12 – $75.12 |
| 18 | Aetna aetna_non_w percent of total billed chargesfrom % of charges | $75.31 | $75.31 | $75.31 – $75.31 |
| 19 | UnitedHealthcare options percent of total billed chargesfrom % of charges | $79.72 | $79.72 | $79.72 – $79.72 |
| 20 | MultiPlan multiplan percent of total billed chargesfrom % of charges | $86.39 | $86.39 | $86.39 – $86.39 |
| 21 | Anthem anthem_par percent of total billed chargesfrom % of charges | $89.21 | $89.21 | $89.21 – $89.21 |
Last updated: Apr 1, 2026
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