Selenium blood test at Affinity Hospital LLC

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

L716910 SELEN ICP/MS

Birmingham, AL

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Pricing by billing methodology

Price type

How this price compares nationally

Affinity Hospital LLC’s median price of $85 is 125% above the median hospital's median price ($38), higher than 81% of the 2,469 hospitals reporting CPT 84255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 84255 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 13 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Tricare node tricare facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	Bcbs Al bcbs al all facility · other · outpatient	$21	$21	—	—	—	$21 – $21
3	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
4	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
5	Humana node humana mcr adv facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
6	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$25	$25	—	—	—	$25 – $25
7	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
8	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
9	Optum node united optum va ccn facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
10	Aetna node aetna mcr adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
11	Clover node clover health mcr adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
12	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
13	Aetna aetna all facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
14	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
15	Cigna cigna all facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
16	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
17	First Health first health facility · other · outpatient	$169	$169	—	—	—	$169 – $169
18	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
19	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
20	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
21	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
22	First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221

Last updated: Apr 1, 2026

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