☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /86294
  5. /Percent of billed charges
CPT 86294

CHG IMMUNOASSAY, TUMOR ANTIGEN, QUAL

Reported by 47 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$18

Average

$149

Median

$93

High

$711

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$15$65$65$65—
2Northwest Iowa Hospital CorporationSioux City, IA$15$18$18$38—
3Hca Florida Putnam HospitalPalatka, FL$23$184$213$505$124
4Menorah Medical CenterOverland Park, KS$66$214$226$408$100
5Centennial Hospital A Campus Of TmcaENGLEWOOD, CO$14$532$444$748$193
6Hca Healthone Mountain RidgeThornton, CO$12$795$711$1.1k$284
7Hca Healthone AuroraAurora, CO$14$532$444$748$193
8Hca Healthone Northeast ErTHORNTON, CO$12$795$711$1.1k$284
9Catholic Health Initiatives ColoradoColorado Springs, CO$25$128$155$247$72
10Catholic Health Initiatives ColoradoColorado Springs, CO$25$218$182$247$68
Page 1 of 5

Look up this code directly

Ask Claude or any MCP client for CPT 86294 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC