Vancomycin level blood 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 VANCOMYCIN

Payers reporting CPT 80202

Payer pricing summary

Low

Average

$355

Median

$69

High

$5.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +35 other terms	882	$14	$21	$35	166%	285–555	$1 – $520
2	Cigna Healthspring fee schedule · outpatient · +8 other terms	152	$14	$14	$2	13%	110	$8 – $23
3	Humana fee schedule · outpatient · +27 other terms	599	$14	$33	$48	144%	102–255	$1 – $450
4	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	611	$22	$48	$72	150%	84–264	$1 – $1.2k
5	Anthem fee schedule · outpatient · +25 other terms	250	$19	$35	$54	155%	47–173	$2 – $553
6	Molina fee schedule · outpatient · +30 other terms	329	$15	$17	$11	63%	25–70	$1 – $215
7	Bcbs Ar fee schedule · both	1	$15	$15	—	—	13	$15 – $15
8	Aetna fee schedule · outpatient · +32 other terms	806	$17	$58	$220	380%	7–70	$0 – $8.4k
9	WellCare fee schedule · outpatient · +20 other terms	336	$14	$16	$8	51%	4–40	$8 – $79
10	Cigna fee schedule · outpatient · +27 other terms	563	$30	$41	$51	123%	3–30	$5 – $467
11	Bcbs Al facility · other · outpatient · +5 other terms	4	$15	$15	$2	10%	3–30	$14 – $18
12	Caresource fee schedule · outpatient · +15 other terms	118	$15	$23	$21	89%	2–20	$1 – $147
13	First Health fee schedule · outpatient · +17 other terms	76	$35	$105	$165	157%	2–20	$11 – $994
14	Ambetter fee schedule · outpatient · +18 other terms	135	$22	$21	$12	57%	1–10	$9 – $118
15	Kaiser fee schedule · outpatient · +19 other terms	134	$15	$38	$85	220%	1–10	$5 – $760
16	Aetna Better Health fee schedule · outpatient · +19 other terms	125	$13	$14	$8	58%	1–10	$7 – $64
17	Healthpartners fee schedule · outpatient · +12 other terms	28	$41	$37	$9	24%	1–10	$14 – $46
18	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$22	$22	$9	39%	1–10	$14 – $31
19	Devoted fee schedule · outpatient · +15 other terms	199	$14	$14	$0	2%	—	$13 – $15
20	Oscar fee schedule · outpatient · +17 other terms	168	$26	$28	$10	34%	—	$11 – $41
21	MultiPlan fee schedule · outpatient · +20 other terms	123	$181	$175	$159	91%	—	$13 – $994
22	Tricare facility · fee schedule · outpatient · +18 other terms	120	$13	$17	$28	161%	—	$3 – $277
23	Optum fee schedule · outpatient · +20 other terms	84	$14	$51	$90	176%	—	$13 – $401
24	Highmark facility · fee schedule · outpatient · +17 other terms	71	$23	$40	$35	87%	—	$9 – $217
25	Medicaid facility · fee schedule · outpatient · +15 other terms	71	$14	$14	$4	26%	—	$6 – $37

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