Tacrolimus blood level 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

HC TACROLIMUS ASSAY

Payers reporting CPT 80197

Payer pricing summary

Low

Average

$271

Median

$66

High

$4.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +36 other terms	872	$14	$19	$30	154%	1,880–2,213	$1 – $457
2	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	602	$21	$37	$42	113%	891–1,017	$1 – $412
3	Aetna fee schedule · outpatient · +35 other terms	796	$18	$56	$316	566%	785–983	$0 – $8.4k
4	Optum fee schedule · outpatient · +21 other terms	84	$14	$63	$124	196%	372	$1 – $550
5	Molina fee schedule · outpatient · +32 other terms	327	$15	$17	$12	69%	278–296	$1 – $215
6	Humana fee schedule · outpatient · +29 other terms	588	$14	$34	$52	151%	242–386	$1 – $457
7	Anthem fee schedule · outpatient · +28 other terms	248	$17	$27	$30	109%	165–228	$2 – $323
8	Caresource fee schedule · outpatient · +17 other terms	117	$16	$20	$18	94%	165–174	$1 – $162
9	Cigna fee schedule · outpatient · +28 other terms	558	$28	$112	$2.7k	2399%	150–168	$5 – $92.7k
10	Cigna Healthspring fee schedule · outpatient · +9 other terms	152	$14	$14	$1	10%	148–220	$8 – $23
11	Superior Healthplan fee schedule · outpatient · +7 other terms	66	$14	$107	$96	90%	136–163	$12 – $290
12	Bcbs Al facility · other · outpatient · +5 other terms	5	$15	$15	$2	12%	65–83	$14 – $18
13	Ambetter fee schedule · outpatient · +22 other terms	138	$23	$21	$10	47%	64–91	$6 – $87
14	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$23	$23	$9	39%	17	$14 – $32
15	WellCare fee schedule · outpatient · +22 other terms	336	$14	$16	$9	55%	2–20	$8 – $107
16	First Health fee schedule · outpatient · +18 other terms	76	$19	$47	$95	202%	2–20	$8 – $433
17	Kaiser fee schedule · outpatient · +20 other terms	129	$14	$17	$15	88%	1–10	$3 – $173
18	Healthpartners fee schedule · outpatient · +11 other terms	28	$42	$38	$9	23%	1–10	$14 – $47
19	Medical Mutual fee schedule · outpatient · +16 other terms	26	$18	$40	$48	120%	1–10	$13 – $229
20	Sanford Health Plan fee schedule · outpatient · +16 other terms	22	$35	$57	$83	145%	1–10	$14 – $390
21	Devoted fee schedule · outpatient · +16 other terms	196	$14	$14	$0	2%	—	$13 – $15
22	Oscar fee schedule · outpatient · +18 other terms	168	$27	$29	$10	34%	—	$11 – $42
23	Aetna Better Health fee schedule · outpatient · +18 other terms	124	$13	$14	$7	49%	—	$5 – $53
24	MultiPlan fee schedule · outpatient · +21 other terms	123	$125	$117	$134	115%	—	$1 – $500
25	Tricare facility · fee schedule · outpatient · +18 other terms	112	$13	$20	$36	181%	—	$6 – $263

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