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 EPSTEIN BARR VIRUS AB EVAL - A
York, PA
See all hospitals reporting CPT 86663 →Price type
UPMC Memorial’s median price of $46 is 127% above the median hospital's median price ($20), higher than 76% of the 2,489 hospitals reporting CPT 86663. 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, 19 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 medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Cigna medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | UnitedHealthcare medicare facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 7 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $33 | $33 | $10 | 31% | — | $23 – $43 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 11 | Highmark commercial facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 16 | Blue Cross Blue Shield chip facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 17 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
Last updated: Mar 6, 2026
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