CPT 0255U

Sperm capacitation assessment by GM1 fluorescence microscopy

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

Andrology infertility assmt

Payer pricing summary

Low

$17

Average

$43

Median

$34

High

$88

Payer rate distribution

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All methodologies Case rate 33 Fee schedule 52 Per diem 0 Percent of billed charges 0 Other 18

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#
1	Molina facility · case rate · outpatient · +2 other terms	42	$37	$48	$28	58%	—	$16 – $152
2	Aetna case rate · outpatient · +1 other terms	38	$32	$42	$34	80%	—	$32 – $160
3	UnitedHealthcare case rate · outpatient · +1 other terms	38	$33	$42	$31	75%	—	$32 – $162
4	Humana facility · case rate · outpatient · +1 other terms	29	$32	$39	$14	36%	—	$29 – $68
5	Caresource facility · case rate · outpatient · +1 other terms	22	$26	$33	$14	43%	—	$15 – $63
6	Anthem facility · case rate · outpatient · +1 other terms	20	$24	$35	$29	83%	—	$15 – $126
7	Optum facility · case rate · outpatient	14	$22	$29	$13	44%	—	$19 – $59
8	WellCare case rate · outpatient · +1 other terms	14	$32	$33	$1	4%	—	$32 – $35
9	Blue Cross Blue Shield case rate · outpatient · +1 other terms	13	$32	$97	$69	71%	—	$32 – $169
10	Ambetter case rate · outpatient · +1 other terms	12	$46	$47	$2	4%	—	$46 – $51

Page 1 of 4 · 33 payers

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