Nitric oxide breath 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=NITRIC OXIDE GAS DETERM

Carefirst pricing summary

Low

$19

Average

$119

Median

$84

High

$374

Carefirst rate distribution

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41 hospital rates

#		Plans
1	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both	1	$38	$38	—	—	—	$38 – $38
2	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient	3	$21	$21	$4	21%	—	$16 – $25
3	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient	3	$897	$896	$303	34%	—	$591 – $1.2k
4	Children's National Hospital Washington, DC facility · fee schedule · outpatient	2	$677	$677	—	—	—	$677 – $677
5	Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges	1	$43	$43	—	—	—	$43 – $43
6	Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges	1	$36	$36	—	—	—	$36 – $36
7	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both	1	$477	$477	—	—	—	$477 – $477
8	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient	2	$28	$26	$4	14%	—	$20 – $28
9	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient	2	$27	$25	$3	13%	—	$20 – $27
10	Inova Alexandria Hospital Alexandria, VA fee schedule · both	2	$83	$83	$2	3%	—	$81 – $86
11	Inova Fair Oaks Hospital Fairfax, VA fee schedule · both	2	$83	$83	$2	3%	—	$81 – $86
12	Inova Fairfax Hospital Falls Church, VA fee schedule · both	2	$83	$83	$2	3%	—	$81 – $86
13	Inova Loudoun Hospital Leesburg, VA fee schedule · both	2	$83	$83	$2	3%	—	$81 – $86
14	Inova Mount Vernon Hospital Alexandria, VA fee schedule · both	2	$83	$83	$2	3%	—	$81 – $86
15	Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both	1	$120	$120	—	—	—	$120 – $120
16	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$54	$54	—	—	—	$54 – $54
17	Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both	1	$38	$38	—	—	—	$38 – $38
18	NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
19	RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient	2	$84	$84	—	—	—	$84 – $84
20	STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient	2	$84	$84	—	—	—	$84 – $84
21	Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges	2	$152	$122	$37	30%	—	$77 – $152
22	Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both	1	$172	$172	—	—	—	$172 – $172
23	Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient	3	$27	$26	$11	41%	—	$14 – $36
24	Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient	3	$27	$26	$11	41%	—	$14 – $36
25	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both	1	$150	$150	—	—	—	$150 – $150

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← Payers reporting CPT 95012 · Snapshot 20261111T120946Z-9134e7f7

CPT 95012