CPT 85530

Heparin and protamine tolerance 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

HEPARIN PROTAMINE TOL LAB

Payer pricing summary

Low

Average

$41

Median

$27

High

$401

Payer rate distribution

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#
1	Kaiser fee schedule · outpatient · +12 other terms	92	$13	$28	$41	147%	1–10	$5 – $309
2	UnitedHealthcare fee schedule · outpatient · +21 other terms	646	$13	$14	$9	66%	—	$2 – $269
3	Aetna fee schedule · outpatient · +16 other terms	616	$14	$59	$417	707%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +20 other terms	443	$13	$29	$36	124%	—	$5 – $175
5	Cigna fee schedule · outpatient · +18 other terms	426	$26	$36	$31	88%	—	$5 – $349
6	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	406	$19	$35	$37	108%	—	$1 – $373
7	WellCare fee schedule · outpatient · +8 other terms	263	$13	$14	$2	18%	—	$12 – $26
8	Molina fee schedule · outpatient · +14 other terms	233	$15	$15	$7	44%	—	$1 – $43
9	Devoted fee schedule · outpatient · +8 other terms	193	$13	$13	$0	3%	—	$13 – $15
10	Oscar fee schedule · outpatient · +10 other terms	165	$25	$28	$9	33%	—	$13 – $40
11	Anthem fee schedule · outpatient · +16 other terms	156	$22	$33	$41	123%	—	$5 – $262
12	Cigna Healthspring fee schedule · outpatient · +4 other terms	125	$14	$13	$1	6%	—	$12 – $21
13	Ambetter fee schedule · outpatient · +9 other terms	97	$22	$20	$6	30%	—	$9 – $35
14	Aetna Better Health fee schedule · outpatient · +8 other terms	74	$12	$12	$2	15%	—	$12 – $21
15	Caresource fee schedule · outpatient · +9 other terms	64	$13	$15	$3	20%	—	$12 – $26
16	Clover fee schedule · outpatient · +5 other terms	46	$13	$13	$0	2%	—	$13 – $14
17	Superior Healthplan fee schedule · outpatient · +4 other terms	45	$14	$14	$1	8%	—	$11 – $22
18	Optum fee schedule · outpatient · +11 other terms	42	$13	$18	$8	43%	—	$13 – $38
19	First Health fee schedule · outpatient · +11 other terms	40	$13	$31	$60	195%	—	$11 – $381
20	Bcbs Tx fee schedule · outpatient · +1 other terms	33	$47	$50	$24	48%	—	$13 – $113
21	Healthcare Highways fee schedule · outpatient · +1 other terms	29	$31	$33	$7	20%	—	$19 – $39
22	Amerihealth Caritas fee schedule · outpatient · +6 other terms	27	$16	$15	$4	28%	—	$2 – $20
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$18	$19	$5	24%	—	$12 – $28
24	Regence facility · fee schedule · outpatient · +6 other terms	26	$14	$16	$7	44%	—	$11 – $39
25	Medica facility · fee schedule · outpatient · +9 other terms	24	$13	$13	$4	29%	—	$4 – $34

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