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
ALPHA 1 ANTITRYPSIN PHENO REF1
Arlington, TX
See all hospitals reporting CPT 82104 →Price type
AMH Cath Labs LLC’s median price of $26 is 15% above the median hospital's median price ($23), higher than 56% of the 2,439 hospitals reporting CPT 82104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Molina managed medicaid fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Humana medicare advantage case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Molina medicare advantage case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 18 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 25 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
Last updated: Apr 21, 2026
See Alpha-1 antitrypsin phenotype test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.