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 Iaad Ia Polyv Mlt Organisms Ea Polyv Antiserum (Comp of Pnuemo Panel)
Low
$13
Average
$58
Median
$34
High
$165
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 9.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
16 hospital rates
iThe hospitals that file a Phcs rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | $9 | 24% | — | $27 – $44 |
| 2 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $3 | 10% | — | $27 – $33 |
| 3 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | $9 | 24% | — | $27 – $44 |
| 4 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Henry Ford Health Township, MI fee schedule · both | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Henry Ford Health Detroit, MI fee schedule · both | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Henry Ford Health Heights, MI fee schedule · both | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Henry Ford Health Warren, MI fee schedule · both | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Memorial Hospital Shiloh, IL percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 12 | Mercy Rehabilitation Hospital Northwest Arkansas Rogers, AR percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Mercy Rehabilitation Hospital Springfield LLC Springfield, MO per diem · inpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 14 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 15 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 16 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting CPT 87451 · Snapshot 20261112T181611Z-3fa9fb76