Factor IX clotting 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 CLOT FACTOR IX PTC/CHRSTMAS

Payers reporting CPT 85250

Payer pricing summary

Low

$12

Average

$294

Median

$75

High

$4.6k

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +17 other terms	104	$20	$50	$76	153%	14–140	$1 – $436
2	Cigna fee schedule · outpatient · +28 other terms	555	$42	$56	$63	111%	6–60	$5 – $481
3	Anthem fee schedule · outpatient · +26 other terms	233	$26	$41	$45	109%	3–30	$3 – $421
4	UnitedHealthcare fee schedule · outpatient · +37 other terms	863	$19	$29	$52	176%	2–20	$1 – $796
5	Molina fee schedule · outpatient · +28 other terms	317	$21	$24	$16	67%	2–20	$1 – $285
6	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	569	$31	$61	$83	135%	1–10	$1 – $704
7	Cigna Healthspring fee schedule · outpatient · +8 other terms	151	$19	$19	$2	10%	1–10	$11 – $32
8	Aetna Better Health fee schedule · outpatient · +18 other terms	116	$17	$19	$8	44%	1–10	$10 – $73
9	Superior Healthplan fee schedule · outpatient · +6 other terms	63	$20	$108	$82	76%	1–10	$16 – $403
10	Bcbs Al facility · other · outpatient · +5 other terms	4	$5	$6	$1	11%	1–10	$5 – $6
11	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$44	$44	—	—	1–10	$44 – $44
12	Aetna fee schedule · outpatient · +32 other terms	790	$24	$105	$344	327%	—	$0 – $8.4k
13	Humana fee schedule · outpatient · +27 other terms	582	$19	$54	$89	165%	—	$1 – $937
14	WellCare fee schedule · outpatient · +20 other terms	335	$20	$28	$31	111%	—	$14 – $312
15	Devoted fee schedule · outpatient · +16 other terms	187	$19	$19	$0	2%	—	$19 – $21
16	Oscar fee schedule · outpatient · +18 other terms	168	$37	$40	$14	34%	—	$19 – $58
17	Kaiser fee schedule · outpatient · +19 other terms	128	$19	$27	$30	113%	—	$5 – $348
18	Ambetter facility · fee schedule · outpatient · +21 other terms	127	$34	$34	$8	24%	—	$10 – $49
19	MultiPlan fee schedule · outpatient · +21 other terms	122	$154	$247	$248	101%	—	$1 – $754
20	Tricare facility · fee schedule · outpatient · +18 other terms	116	$19	$21	$26	121%	—	$8 – $247
21	Highmark facility · fee schedule · outpatient · +18 other terms	78	$31	$47	$46	97%	—	$5 – $197
22	First Health fee schedule · outpatient · +19 other terms	74	$25	$58	$99	171%	—	$16 – $597
23	Optum facility · fee schedule · outpatient · +21 other terms	74	$19	$19	$2	9%	—	$15 – $27
24	Medicaid facility · fee schedule · outpatient · +16 other terms	64	$19	$19	$5	28%	—	$5 – $45
25	Amerihealth Caritas fee schedule · outpatient · +13 other terms	58	$20	$28	$20	72%	—	$3 – $77

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