Lab cell lysis for nucleic acid extraction, unscheduled

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

Lyse cells for nucleic ex

Cigna pricing summary

Low

$16

Average

$56

Median

$40

High

$137

Cigna rate distribution

Filter by billing methodology

Filter by billing class

22 hospital rates

#		Plans
1	Alexian Brothers Behavioral Health Hospital Estates, IL other · both	3	$40	$40	—	—	—	$40 – $40
2	Alexian Brothers Medical Center Village, IL other · both	4	$40	$40	$1	2%	—	$39 – $40
3	Baxter County Regional Hospital, Inc. Home, AR facility · percent of total billed charges · outpatientfrom % of charges	1	$29	$29	—	—	—	$29 – $29
4	Boone Memorial Hospital Madison, WV percent of total billed charges · bothfrom % of charges	1	$62	$62	—	—	—	$62 – $62
5	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$66	$66	—	—	—	$66 – $66
6	CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
7	Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges	1	$31	$31	—	—	—	$31 – $31
8	Danbury Hospital New Milford, CT fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
9	GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
10	HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
11	LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
12	Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
13	Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges	1	$83	$83	—	—	—	$83 – $83
14	Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient	2	$137	$137	$7	5%	—	$130 – $145
15	Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient	2	$137	$137	$7	5%	—	$130 – $145
16	Norwalk Hospital Norwalk, CT fee schedule · outpatient	1	$16	$16	—	—	—	$16 – $16
17	REHAB HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
18	St. Alexius Medical Center Estates, IL other · both	4	$40	$40	$1	2%	—	$39 – $40
19	TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · outpatient	2	$94	$94	$13	14%	—	$80 – $107
20	Texas Health Hospital Mansfield Mansfield, TX fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
21	Texas Health Huguley Hospital Fort Worth South Burleson, TX fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
22	Westchester Medical Center Valhalla, NY facility · percent of total billed charges · outpatientfrom % of charges	1	$83	$83	—	—	—	$83 – $83