Sperm identification from aspiration sample

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

Sperm ID Aspiration Nonseminal

Payers reporting CPT 89257

Payer pricing summary

Low

$25

Average

$200

Median

$125

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	579	$50	$69	$87	126%	—	$1 – $1.6k
2	Aetna fee schedule · outpatient · +18 other terms	484	$75	$611	$749	123%	—	$0 – $8.4k
3	Cigna fee schedule · outpatient · +14 other terms	377	$94	$100	$55	55%	—	$23 – $318
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	313	$89	$112	$64	57%	—	$1 – $446
5	Humana fee schedule · outpatient · +16 other terms	228	$54	$62	$41	66%	—	$47 – $384
6	Anthem fee schedule · outpatient · +13 other terms	118	$101	$130	$126	97%	—	$1 – $902
7	WellCare fee schedule · outpatient · +8 other terms	116	$54	$62	$19	31%	—	$48 – $125
8	Molina fee schedule · outpatient · +14 other terms	111	$63	$73	$32	45%	—	$38 – $270
9	Devoted fee schedule · outpatient · +6 other terms	67	$54	$54	$3	6%	—	$48 – $59
10	Kaiser fee schedule · outpatient · +4 other terms	63	$76	$102	$65	64%	—	$52 – $394
11	Ambetter facility · fee schedule · outpatient · +10 other terms	51	$89	$229	$964	421%	—	$51 – $7.0k
12	Oscar fee schedule · outpatient · +12 other terms	35	$109	$101	$22	21%	—	$61 – $149
13	Optum fee schedule · outpatient · +8 other terms	34	$52	$71	$37	52%	—	$47 – $192
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$193	$199	$81	41%	—	$50 – $426
15	Caresource facility · fee schedule · outpatient · +6 other terms	29	$80	$426	$1.5k	359%	—	$51 – $7.9k
16	Clover fee schedule · outpatient · +5 other terms	26	$58	$56	$4	8%	—	$47 – $63
17	Tricare fee schedule · outpatient · +5 other terms	21	$47	$48	$3	7%	—	$46 – $62
18	Medicare fee schedule · outpatient · +3 other terms	20	$52	$52	$1	3%	—	$49 – $58
19	Highmark fee schedule · outpatient · +7 other terms	17	$86	$87	$24	28%	—	$24 – $153
20	Medical Mutual facility · fee schedule · outpatient · +5 other terms	16	$51	$343	$1.3k	366%	—	$27 – $6.0k
21	Regence facility · case rate · outpatient · +4 other terms	16	$55	$66	$32	48%	—	$49 – $169
22	First Health fee schedule · outpatient · +8 other terms	15	$54	$87	$98	112%	—	$50 – $449
23	MultiPlan fee schedule · outpatient · +10 other terms	15	$87	$86	$7	8%	—	$50 – $87
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$79	$80	$36	46%	—	$24 – $192
25	Wellmark fee schedule · both · +4 other terms	13	$104	$104	—	—	—	$104 – $104

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