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

$11

Average

$39

Median

$33

High

$120

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	Humana other · inpatient · +3 other terms	35	$32	$32	$0	1%	—	$30 – $33
2	UnitedHealthcare other · outpatient · +2 other terms	34	$32	$38	$17	45%	—	$18 – $88
3	Ambetter other · inpatient · +1 other terms	31	$52	$49	$8	15%	—	$40 – $60
4	Aetna other · inpatient · +1 other terms	25	$32	$39	$11	29%	—	$32 – $65
5	Blue Cross Blue Shield other · outpatient · +1 other terms	22	$32	$34	$6	17%	—	$29 – $56
6	WellCare other · inpatient · +1 other terms	20	$32	$32	$1	2%	—	$32 – $33
7	Molina other · inpatient · +2 other terms	16	$47	$44	$14	31%	—	$33 – $70
8	Oscar other · outpatient · +1 other terms	15	$51	$48	$3	7%	—	$44 – $51
9	Optum other · inpatient · +1 other terms	10	$32	$32	—	—	—	$32 – $32
10	Tricare other · inpatient · +1 other terms	10	$32	$31	$0	1%	—	$30 – $32

Page 1 of 2 · 18 payers

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