Fluorescent antibody screening test at Dignity Community Care

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

RL-A-NEURO R5 3018965C

Northridge, CA

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Pricing by billing methodology

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How this price compares nationally

Dignity Community Care’s median price of $14 is 40% below the median hospital's median price ($24), higher than 28% of the 2,579 hospitals reporting CPT 86255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86255 at Dignity Community Care

Negotiated rates from the hospital’s own file: 10 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 commercial\|exchange fee schedule · outpatient	$10	$11	$9	76%	—	$2 – $43
2	Aetna medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
3	Anthem medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
4	Blue Cross Blue Shield medicare\|all other plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
5	First Health commercial\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
6	Humana commercial\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
7	Humana medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
8	Kaiser medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
9	Molina medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
10	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$12	$12	$0	0%	—	$12 – $12
11	Kaiser medicaid\|< 21 fee schedule · outpatient	$12	$12	$0	1%	—	$12 – $12
12	Kaiser medicaid\|> 21 fee schedule · outpatient	$12	$12	$0	1%	—	$12 – $12
13	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$12	$14	$10	76%	—	$2 – $53
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$14	$14	$1	4%	—	$12 – $14
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$14	$14	$1	4%	—	$12 – $14
16	Anthem medicaid\|< 21 fee schedule · outpatient	$16	$16	$1	6%	—	$12 – $16
17	Anthem medicaid\|> 21 fee schedule · outpatient	$16	$16	$1	6%	—	$12 – $16
18	Molina medicaid\|< 21 fee schedule · outpatient	$17	$17	$1	7%	—	$12 – $17
19	Molina medicaid\|> 21 fee schedule · outpatient	$17	$17	$1	7%	—	$12 – $17
20	Cigna commercial\|all other plans fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
21	Cigna commercial\|ppo fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
22	Aetna commercial\|all other plans fee schedule · outpatient	$50	$43	$12	27%	—	$12 – $50
23	Aetna commercial\|hmo fee schedule · outpatient	$50	$43	$12	27%	—	$12 – $50
24	Aetna commercial\|ppo fee schedule · outpatient	$50	$43	$12	27%	—	$12 – $50
25	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$47	$52	$40	76%	—	$8 – $202

Page 1 of 2 · 31 rates

Last updated: Feb 28, 2026

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