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
Gliadin(Deamidated) Ab, Igg, S Ref
Eureka, IL
See all hospitals reporting CPT 86258 →Price type
Carle Eureka Hospital’s median price of $22 is 23% above the median hospital's median price ($18), higher than 59% of the 2,384 hospitals reporting CPT 86258. 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, 21 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $20 | $15 | $6 | 39% | — | $7 – $20 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $20 | $15 | $6 | 39% | — | $7 – $20 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $20 | $15 | $6 | 39% | — | $7 – $20 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $44 | $35 | $14 | 39% | — | $15 – $44 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $44 | $35 | $14 | 39% | — | $15 – $44 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $44 | $35 | $14 | 39% | — | $15 – $44 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $44 | $35 | $14 | 39% | — | $15 – $44 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $47 | $37 | $14 | 39% | — | $16 – $47 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $60 | $47 | $19 | 39% | — | $21 – $60 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $60 | $47 | $19 | 39% | — | $21 – $60 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $61 | $48 | $19 | 39% | — | $21 – $61 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $65 | $51 | $20 | 39% | — | $22 – $65 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $65 | $51 | $20 | 39% | — | $22 – $65 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $66 | $51 | $20 | 39% | — | $23 – $66 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $74 | $58 | $23 | 39% | — | $26 – $74 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $82 | $64 | $25 | 39% | — | $29 – $82 |
Last updated: Apr 15, 2026
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