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
HIV Ag/Ab Combo 1/2 Screen
Low
$30
Average
$51
Median
$39
High
$150
Each hospital's average Premera rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 2.1× 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.
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30 hospital rates
iThe hospitals that file a Premera 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 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $33 | $35 | $4 | 10% | — | $33 – $41 |
| 3 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $33 | $35 | $4 | 10% | — | $33 – $41 |
| 4 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 8 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 12 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $33 | $35 | $4 | 10% | — | $33 – $41 |
| 13 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $41 | $39 | $4 | 9% | — | $33 – $41 |
| 14 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $33 | $35 | $4 | 10% | — | $33 – $41 |
| 15 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $41 | $39 | $4 | 9% | — | $33 – $41 |
| 16 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $41 | $39 | $4 | 9% | — | $33 – $41 |
| 17 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $41 | $41 | — | — | — | $41 – $41 |
| 18 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 19 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 21 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
← Payers reporting CPT 87806 · Snapshot 20261111T120946Z-9134e7f7