Herpes simplex type 1 test at AMH Cath Labs 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

HSV 1 GLYCOPROTEIN IGG CIA R1

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $15 is 35% below the median hospital's median price ($22), higher than 31% of the 2,606 hospitals reporting CPT 86695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86695 at AMH Cath Labs LLC

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	$11	$11	—	—	—	$11 – $11
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
3	WellCare managed medicaid fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
4	Molina managed medicaid fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
5	Aetna managed medicaid fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
7	UnitedHealthcare all payer fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
8	UnitedHealthcare ppo fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
9	Humana medicare advantage case rate · outpatient	$14	$14	—	—	—	$14 – $14
10	Humana medicare advantage ppo case rate · outpatient	$14	$14	—	—	—	$14 – $14
11	Molina medicare advantage case rate · outpatient	$14	$14	—	—	—	$14 – $14
12	WellCare medicare advantage hmo case rate · outpatient	$14	$14	—	—	—	$14 – $14
13	WellCare medicare advantage mmp case rate · outpatient	$15	$15	—	—	—	$15 – $15
14	UnitedHealthcare medicare advantage ppo case rate · outpatient	$15	$15	—	—	—	$15 – $15
15	UnitedHealthcare medicare advantage hmo case rate · outpatient	$15	$15	—	—	—	$15 – $15
16	Blue Cross Blue Shield exchange fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
18	Blue Cross Blue Shield ppo fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
19	Aetna whole health fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
20	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$29	$45	$40	88%	—	$7 – $101
21	Aetna asa percent of total billed charges · outpatientfrom % of charges	$29	$46	$40	88%	—	$7 – $102
22	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$29	$46	$40	88%	—	$7 – $102
23	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$31	$49	$43	88%	—	$7 – $108
24	Cigna oap/hmo fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
25	Cigna ppo fee schedule · outpatient	$54	$54	—	—	—	$54 – $54

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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