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
HCHG HEPATITIS A ANTIBODY TOTAL QUEST
Ulm, MN
Negotiated rates from the hospital’s own file: 9 payers, 25 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 13% | — | $9 – $13 |
| 2 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Medicare medicare (n) facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $2 | 13% | — | $15 – $20 |
| 5 | Medicaid medicaid ma (n) facility · other · outpatient | $23 | $24 | $3 | 13% | — | $20 – $28 |
| 6 | Bcbs Mn bc pmap (n) facility · other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $23 | $24 | $3 | 13% | — | $20 – $28 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $3 | 13% | — | $21 – $28 |
| 9 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $25 | $25 | $3 | 13% | — | $21 – $29 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $33 | $33 | $4 | 13% | — | $28 – $39 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $4 | 13% | — | $28 – $39 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $35 | $36 | $5 | 13% | — | $30 – $42 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $5 | 13% | — | $31 – $42 |
| 14 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $37 | $38 | $5 | 13% | — | $32 – $44 |
| 15 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $42 | $43 | $6 | 13% | — | $37 – $50 |
| 16 | Cigna hpi cigna (n) facility · other · outpatient | $43 | $44 | $6 | 13% | 1–10 | $38 – $51 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $45 | $45 | $6 | 13% | — | $39 – $53 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $6 | 13% | — | $39 – $53 |
| 19 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $6 | 13% | — | $39 – $53 |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $45 | $46 | $6 | 13% | — | $39 – $53 |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $46 | $6 | 13% | — | $39 – $54 |
| 22 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 23 | Bcbs Mn bc premier(n) facility · other · outpatient | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $118 | $118 | — | — | — | $118 – $118 |