CPT 0472U
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
Carbonic anhydrase VI (CA VI), parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG, IgM, and IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative, blood, reported as predictive evidence of early Sjögren's syndrome
Low
$4
Average
$58
Median
$48
High
$157
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138 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $97 | $80 | $37 | 47% | — | $28 – $114 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 8 | Aspirus Plover Hospital Stevens Point, WI fee schedule · outpatient | 3 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 9 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 10 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $42 | $42 | $14 | 33% | — | $28 – $56 |
| 11 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 12 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 3 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 13 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $167 | $135 | $77 | 57% | — | $28 – $209 |
| 14 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 3 | $42 | $51 | $20 | 40% | — | $28 – $85 |
| 15 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Payers reporting CPT 0472U · Snapshot 20261113T090226Z-3ce6c0b8