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 SARS-COV-2 AB (IGG NUCLEOCAPSID,IGM SPIKE), QUAL. B
Hanover, PA
See all hospitals reporting CPT 86769 →Price type
UPMC Hanover’s median price of $45 is 5% below the median hospital's median price ($48), higher than 45% of the 2,482 hospitals reporting CPT 86769. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $6 | 18% | — | $27 – $39 |
| 5 | Highmark medicare facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Aetna aco facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Aetna commercial facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Humana medicare facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Aetna medicare facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Cigna medicare facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 11 | UnitedHealthcare medicare facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 12 | Highmark medicaid facility · fee schedule · outpatient | $77 | $77 | $63 | 82% | — | $14 – $140 |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | $22 | 18% | — | $96 – $139 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | $22 | 18% | — | $96 – $139 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $25 | 18% | — | $110 – $160 |
| 16 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $147 | $147 | $27 | 18% | — | $120 – $174 |
| 17 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | $27 | 18% | — | $120 – $174 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $147 | $147 | $27 | 18% | — | $120 – $174 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | $27 | 18% | — | $120 – $174 |
| 20 | Highmark commercial facility · fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
Last updated: Mar 6, 2026
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