Mycoplasma lab 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

HB Ref Culture: Mycoplasma Pneumoniae

Payers reporting CPT 87109

Payer pricing summary

Low

Average

$317

Median

$47

High

$6.3k

Payer rate distribution

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#
1	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$47	$47	$2	4%	4–40	$46 – $51
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	825	$15	$20	$22	108%	3–30	$0 – $383
3	Humana fee schedule · outpatient · +22 other terms	558	$16	$36	$48	132%	1–10	$0 – $383
4	Cigna fee schedule · outpatient · +24 other terms	534	$32	$40	$39	96%	1–10	$5 – $340
5	Anthem fee schedule · outpatient · +23 other terms	227	$21	$28	$28	99%	1–10	$3 – $284
6	Ambetter fee schedule · outpatient · +18 other terms	122	$25	$24	$9	39%	1–10	$10 – $76
7	Medica fee schedule · outpatient · +13 other terms	39	$31	$45	$45	100%	1–10	$9 – $194
8	Healthpartners fee schedule · outpatient · +8 other terms	25	$47	$44	$9	20%	1–10	$16 – $52
9	Aetna fee schedule · outpatient · +29 other terms	763	$20	$64	$330	512%	—	$0 – $8.4k
10	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	552	$23	$42	$42	101%	—	$1 – $347
11	WellCare fee schedule · outpatient · +17 other terms	323	$16	$18	$9	52%	—	$6 – $121
12	Molina fee schedule · outpatient · +27 other terms	308	$17	$33	$439	1318%	—	$1 – $13.3k
13	Devoted fee schedule · outpatient · +13 other terms	195	$15	$16	$0	2%	—	$15 – $18
14	Oscar fee schedule · outpatient · +17 other terms	167	$30	$33	$11	34%	—	$8 – $47
15	Cigna Healthspring fee schedule · outpatient · +8 other terms	150	$15	$16	$2	11%	—	$9 – $26
16	Kaiser fee schedule · outpatient · +17 other terms	127	$16	$19	$10	52%	—	$2 – $104
17	Aetna Better Health fee schedule · outpatient · +18 other terms	112	$14	$15	$7	44%	—	$7 – $54
18	MultiPlan fee schedule · outpatient · +17 other terms	111	$65	$81	$72	89%	—	$1 – $277
19	Caresource fee schedule · outpatient · +15 other terms	100	$16	$28	$27	97%	—	$1 – $133
20	Tricare facility · fee schedule · outpatient · +15 other terms	79	$15	$18	$23	125%	—	$7 – $233
21	Optum fee schedule · outpatient · +18 other terms	78	$15	$25	$19	74%	—	$4 – $95
22	First Health fee schedule · outpatient · +15 other terms	72	$24	$29	$30	105%	—	$11 – $245
23	Superior Healthplan fee schedule · outpatient · +6 other terms	63	$16	$56	$52	91%	—	$13 – $178
24	Amerihealth Caritas fee schedule · outpatient · +11 other terms	56	$16	$17	$4	24%	—	$2 – $27
25	Highmark facility · fee schedule · outpatient · +14 other terms	55	$26	$38	$31	81%	—	$10 – $140

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