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
Herpes Simplex I IgG
Wagner, SD
See all hospitals reporting CPT 86695 →Price type
Wagner Community Memorial’s median price of $196 is 785% above the median hospital's median price ($22), higher than 98% of the 2,559 hospitals reporting CPT 86695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica ind percent of total billed charges · inpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 3 | Medica com percent of total billed charges · inpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 4 | Medica com percent of total billed charges · outpatientfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 5 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 6 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
Last updated: Apr 1, 2026
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