Mycoplasma pneumoniae lab test by DNA probe

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

HC MYCOPLASMA PNEUMONIE,AMPLIF NA PROBE

Payers reporting CPT 87581

Payer pricing summary

Low

$12

Average

$111

Median

$92

High

$298

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +15 other terms	113	$36	$52	$62	119%	350	$1 – $378
2	UnitedHealthcare fee schedule · outpatient · +35 other terms	841	$35	$45	$49	108%	38–92	$1 – $635
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$58	$58	$23	39%	11	$35 – $81
4	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	564	$53	$93	$100	107%	10–100	$1 – $792
5	Cigna fee schedule · outpatient · +26 other terms	536	$72	$83	$88	106%	8–80	$1 – $830
6	Anthem fee schedule · outpatient · +25 other terms	223	$46	$67	$62	93%	4–40	$6 – $414
7	Aetna fee schedule · outpatient · +32 other terms	765	$45	$118	$334	284%	3–30	$0 – $8.4k
8	Humana fee schedule · outpatient · +27 other terms	571	$36	$78	$113	146%	3–30	$1 – $770
9	Molina fee schedule · outpatient · +29 other terms	300	$40	$43	$20	47%	1–10	$1 – $280
10	Cigna Healthspring fee schedule · outpatient · +7 other terms	145	$36	$35	$4	11%	1–10	$21 – $60
11	Superior Healthplan fee schedule · outpatient · +6 other terms	63	$37	$124	$112	90%	1–10	$29 – $397
12	WellCare fee schedule · outpatient · +19 other terms	334	$36	$41	$28	67%	—	$16 – $371
13	Devoted fee schedule · outpatient · +15 other terms	188	$35	$35	$1	2%	—	$34 – $39
14	Oscar fee schedule · outpatient · +17 other terms	168	$68	$74	$25	34%	—	$22 – $107
15	Ambetter facility · fee schedule · outpatient · +18 other terms	126	$62	$65	$14	22%	—	$19 – $89
16	Kaiser fee schedule · outpatient · +19 other terms	125	$36	$46	$27	59%	—	$5 – $234
17	Aetna Better Health fee schedule · outpatient · +18 other terms	113	$32	$33	$3	8%	—	$18 – $44
18	Tricare facility · fee schedule · outpatient · +16 other terms	113	$34	$33	$10	31%	—	$7 – $129
19	MultiPlan fee schedule · outpatient · +18 other terms	110	$167	$223	$241	108%	—	$35 – $889
20	Highmark facility · fee schedule · outpatient · +16 other terms	71	$64	$121	$112	93%	—	$23 – $460
21	First Health fee schedule · outpatient · +16 other terms	70	$51	$93	$154	167%	—	$29 – $770
22	Optum fee schedule · outpatient · +20 other terms	70	$35	$105	$196	186%	—	$34 – $979
23	Amerihealth Caritas fee schedule · outpatient · +11 other terms	60	$35	$37	$9	23%	—	$5 – $54
24	Medicaid facility · fee schedule · outpatient · +14 other terms	60	$35	$35	$9	26%	—	$10 – $83
25	Medicare facility · fee schedule · outpatient · +13 other terms	56	$34	$35	$8	24%	—	$15 – $87

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