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.
Original text from hospital filings
HC 500 Lab1395 Pleximmune
Low
$19
Average
$221
Median
$95
High
$3.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 13.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 647 | $37 | $41 | $28 | 68% | — | $1 – $470 |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 619 | $39 | $112 | $411 | 368% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +20 other terms | 439 | $37 | $83 | $100 | 121% | — | $1 – $488 |
| 4 | Cigna fee schedule · outpatient · +16 other terms | 428 | $73 | $102 | $103 | 100% | — | $5 – $641 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 402 | $53 | $105 | $129 | 122% | — | $1 – $1.3k |
| 6 | WellCare fee schedule · outpatient · +8 other terms | 265 | $38 | $40 | $10 | 25% | — | $31 – $114 |
| 7 | Molina fee schedule · outpatient · +17 other terms | 241 | $41 | $44 | $23 | 53% | — | $1 – $289 |
| 8 | Devoted fee schedule · outpatient · +6 other terms | 194 | $37 | $37 | $1 | 3% | — | $36 – $42 |
| 9 | Oscar fee schedule · outpatient · +12 other terms | 160 | $71 | $79 | $26 | 33% | — | $36 – $112 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 157 | $55 | $82 | $83 | 102% | — | $7 – $659 |
| 11 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 126 | $38 | $37 | $2 | 6% | — | $31 – $59 |
| 12 | Ambetter fee schedule · outpatient · +10 other terms | 97 | $60 | $54 | $17 | 31% | — | $11 – $99 |
| 13 | Kaiser fee schedule · outpatient · +10 other terms | 77 | $37 | $48 | $26 | 54% | — | $5 – $137 |
| 14 | Aetna Better Health fee schedule · outpatient · +10 other terms | 75 | $33 | $34 | $2 | 6% | — | $32 – $39 |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 64 | $37 | $41 | $16 | 39% | — | $1 – $101 |
| 16 | Superior Healthplan fee schedule · outpatient · +3 other terms | 45 | $38 | $39 | $3 | 8% | — | $31 – $62 |
| 17 | Clover fee schedule · outpatient · +6 other terms | 42 | $37 | $37 | $1 | 2% | — | $37 – $38 |
| 18 | Optum fee schedule · outpatient · +8 other terms | 42 | $37 | $53 | $28 | 53% | — | $36 – $168 |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $132 | $140 | $68 | 48% | — | $37 – $315 |
| 20 | First Health fee schedule · outpatient · +9 other terms | 33 | $37 | $43 | $56 | 129% | — | $31 – $494 |
| 21 | Healthcare Highways fee schedule · outpatient · +1 other terms | 29 | $85 | $94 | $18 | 19% | — | $52 – $110 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +8 other terms | 28 | $44 | $43 | $15 | 35% | — | $5 – $109 |
| 23 | Regence facility · fee schedule · outpatient · +5 other terms | 26 | $39 | $45 | $20 | 44% | — | $31 – $110 |
| 24 | Tricare fee schedule · outpatient · +9 other terms | 23 | $37 | $37 | $2 | 5% | — | $29 – $39 |
| 25 | Medical Mutual fee schedule · outpatient · +5 other terms | 21 | $68 | $69 | $27 | 40% | — | $34 – $136 |
← Hospitals reporting CPT 86821 · Snapshot 20261113T090226Z-3ce6c0b8