APC 861

Iodine-125 serum albumin diagnostic test

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I125 serum albumin, dx

Payers reporting APC 861

Payer pricing summary

Low

$340

Average

$542

Median

$483

High

$932

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$474	$474	$5	1%	—	$467 – $493
2	Humana fee schedule · outpatient · +1 other terms	148	$469	$489	$137	28%	—	$450 – $1.9k
3	Aetna fee schedule · outpatient · +1 other terms	135	$474	$475	$7	1%	—	$464 – $516
4	WellCare fee schedule · outpatient · +1 other terms	127	$483	$488	$17	3%	—	$469 – $619
5	Devoted fee schedule · outpatient	122	$469	$469	$1	0%	—	$469 – $493
6	Cigna Healthspring fee schedule · outpatient	110	$488	$478	$13	3%	—	$469 – $507
7	Blue Cross Blue Shield fee schedule · outpatient	105	$478	$474	$6	1%	—	$460 – $488
8	Molina fee schedule · outpatient	55	$691	$691	$266	39%	—	$478 – $1.2k
9	Superior Healthplan fee schedule · outpatient	40	$493	$493	—	—	—	$493 – $493
10	Anthem fee schedule · outpatient	24	$469	$474	$7	1%	—	$469 – $483
11	Oscar fee schedule · outpatient	24	$460	$473	$16	3%	—	$460 – $493
12	Amerihealth Caritas fee schedule · outpatient	17	$563	$558	$11	2%	—	$535 – $563
13	Clover fee schedule · outpatient	15	$493	$493	—	—	—	$493 – $493
14	Kaiser fee schedule · outpatient	13	$478	$478	$2	1%	—	$469 – $478
15	Cigna fee schedule · outpatient · +1 other terms	9	$478	$488	$13	3%	—	$478 – $507
16	Optum fee schedule · outpatient	8	$469	$733	$341	46%	—	$469 – $1.2k
17	Highmark case rate · outpatient	3	$723	$689	$235	34%	—	$469 – $1.0k
18	Excellus case rate · outpatient	2	$932	$932	$121	13%	—	$812 – $1.1k
19	Ambetter fee schedule · outpatient	1	$340	$340	$35	10%	—	$305 – $375
20	Magellan fee schedule · outpatient	1	$469	$469	—	—	—	$469 – $469