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
SC DIS P-SELECTIN WHL BLOOD
Boulder, CO
See all hospitals reporting CPT 0122U →Price type
Boulder Community Health’s median price of $526 is 2% below the median hospital's median price ($537), higher than 11% of the 1,276 hospitals reporting CPT 0122U. 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, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem commercial professional · fee schedule · both | $221 | $221 | — | — | — | $221 – $221 |
| 2 | Anthem managed care professional · fee schedule · both | $221 | $221 | — | — | — | $221 – $221 |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $221 | $221 | — | — | — | $221 – $221 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $374 | $374 | $153 | 41% | — | $221 – $526 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $400 | $400 | — | — | — | $400 – $400 |
| 6 | UnitedHealthcare commercial facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 9 | Humana medicare advantage professional · fee schedule · both | $526 | $526 | — | — | — | $526 – $526 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $539 | $539 | $3 | 0% | — | $537 – $542 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $542 | $542 | — | — | — | $542 – $542 |
| 14 | Aetna commercial professional · fee schedule · both | $576 | $576 | $176 | 31% | — | $400 – $752 |
| 15 | Anthem managed care facility · fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 16 | Anthem commercial facility · fee schedule · outpatient | $574 | $726 | $354 | 49% | — | $505 – $1.5k |
| 17 | MultiPlan commercial professional · fee schedule · both | $826 | $826 | — | — | — | $826 – $826 |
| 18 | Phcs commercial professional · fee schedule · both | $826 | $826 | — | — | — | $826 – $826 |
| 19 | Kaiser commercial facility · case rate · outpatient | $1.1k | $1.1k | $139 | 12% | — | $1.0k – $1.3k |
| 20 | Kaiser managed care facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Sep 16, 2026
See Sickle cell disease blood flow adhesion test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.