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
HLA X-MATH NON-CYTOTOXIC
Waco, TX
See all hospitals reporting CPT 86825 →Price type
Ascension Providence’s median price of $101 is 13% below the median hospital's median price ($116), higher than 6% of the 1,613 hospitals reporting CPT 86825. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 974_bcbs star inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Molina 891_molina chip inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Superior Healthplan 817_superior star inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Superior Healthplan 856_superior star plus inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 5 | UnitedHealthcare 852_uhc star plus inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 6 | UnitedHealthcare 894_uhc star kids inpatient 20240901 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 7 | UnitedHealthcare 929_uhc star inpatient 20250701 fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 10 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 11 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 12 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 13 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 14 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 15 | Tricare 877_tricare outpatient 20250101 other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Tricare 986_tricare inpatient 20251001 other · inpatient | $109 | $109 | — | — | — | $109 – $109 |
| 17 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 18 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $109 | $109 | — | — | — | $109 – $109 |
| 19 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $112 | $112 | — | — | — | $112 – $112 |
| 21 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 22 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $112 | $112 | — | — | — | $112 – $112 |
| 23 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 24 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $164 | $164 | — | — | — | $164 – $164 |
| 25 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
Last updated: Jan 1, 2026
See Blood test to check donor-recipient compatibility (flow cytometry crossmatch) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.