HCPCS S3626
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
Maternal serum quad screen
Low
$20
Average
$85
Median
$80
High
$174
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 4.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark fee schedule · both | 13 | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Aetna professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Anthem facility · fee schedule · outpatient · +1 other terms | 1 | $62 | $62 | — | — | — | $62 – $62 |
← Hospitals reporting HCPCS S3626 · Snapshot 20261113T090226Z-3ce6c0b8