RC 304

Infectious agent antigen detection test by immunoassay

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

THROMBOPLASTIN TIME PARTIAL

Payers reporting RC 304

Payer pricing summary

Low

Average

$496

Median

$506

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	196	$414	$406	$992	244%	—	$1 – $32.5k
2	Humana fee schedule · outpatient · +4 other terms	48	$1.1k	$814	$4.0k	488%	—	$1 – $129.8k
3	Cigna fee schedule · outpatient · +5 other terms	36	$209	$901	$3.1k	345%	—	$0 – $63.6k
4	Anthem fee schedule · outpatient · +4 other terms	27	$1.6k	$1.8k	$4.4k	246%	—	$3 – $75.3k
5	Aetna facility · fee schedule · outpatient · +5 other terms	18	$135	$1.1k	$2.9k	257%	—	$4 – $30.7k
6	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	16	$621	$640	$2.0k	320%	—	$2 – $116.2k
7	First Health facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$51	$49	$8	16%	—	$21 – $53
8	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	13	$56	$56	—	—	—	$56 – $56
9	Caresource fee schedule · outpatient · +3 other terms	12	$6	$6	$5	83%	—	$2 – $27
10	Ambetter fee schedule · outpatient · +4 other terms	11	$15	$569	$1.4k	240%	—	$2 – $21.6k
11	Devoted facility · fee schedule · outpatient · +1 other terms	11	$83	$83	—	—	—	$83 – $83
12	Molina facility · fee schedule · outpatient · +2 other terms	11	$83	$83	—	—	—	$83 – $83
13	WellCare facility · fee schedule · outpatient · +2 other terms	11	$83	$83	—	—	—	$83 – $83
14	Medical Mutual facility · fee schedule · outpatient · +2 other terms	9	$83	$104	$22	21%	—	$83 – $132
15	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$556	$961	$936	97%	—	$108 – $2.2k
16	Amerihealth Caritas facility · fee schedule · outpatient · +1 other terms	2	$6	$6	$0	1%	—	$6 – $6
17	Excellus fee schedule · outpatient	2	$74	$74	$33	44%	—	$54 – $129
18	Highmark facility · fee schedule · outpatient · +1 other terms	2	$8	$8	$3	35%	—	$5 – $13
19	Magellan percent of total billed charges · outpatientfrom % of charges	2	$683	$984	$956	97%	—	$81 – $2.3k
20	Aetna Better Health fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
21	Bcbs Tn facility · fee schedule · outpatient	1	$922	$922	$2.3k	248%	—	$6 – $30k
22	Kaiser fee schedule · outpatient	1	$401	$401	$1.2k	311%	—	$4 – $19.5k
23	Optum facility · fee schedule · outpatient · +2 other terms	1	$11	$11	—	—	—	$11 – $11