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
H-LUPUS ANTICOAG PNL 1229
Merced, CA
See all hospitals reporting CPT 85613 →Price type
Dignity Health’s median price of $9 is 46% below the median hospital's median price ($17), higher than 4% of the 2,580 hospitals reporting CPT 85613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 34 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 | Aetna medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | — | $6 – $10 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | — | $6 – $10 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | 7–70 | $6 – $10 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | — | $6 – $10 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | — | $6 – $10 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $9 | $8 | $1 | 18% | — | $6 – $10 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $9 | $9 | $2 | 26% | — | $6 – $12 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $9 | $9 | $2 | 26% | — | $6 – $12 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $9 | $9 | $2 | 26% | — | $6 – $12 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $9 | $9 | $2 | 26% | — | $6 – $12 |
| 11 | Kaiser medicaid|< 21 fee schedule · outpatient | $9 | $9 | $3 | 28% | — | $6 – $12 |
| 12 | Kaiser medicaid|> 21 fee schedule · outpatient | $9 | $9 | $3 | 28% | — | $6 – $12 |
| 13 | Molina medicaid|< 21 fee schedule · outpatient | $9 | $9 | $3 | 28% | — | $6 – $12 |
| 14 | Molina medicaid|> 21 fee schedule · outpatient | $9 | $9 | $3 | 28% | — | $6 – $12 |
| 15 | Anthem medicaid|< 21 fee schedule · outpatient | $9 | $10 | $3 | 34% | — | $6 – $14 |
| 16 | Anthem medicaid|> 21 fee schedule · outpatient | $9 | $10 | $3 | 34% | — | $6 – $14 |
| 17 | Aetna commercial|all other plans fee schedule · outpatient | $9 | $19 | $18 | 95% | — | $6 – $59 |
| 18 | Aetna commercial|hmo fee schedule · outpatient | $9 | $19 | $18 | 95% | — | $6 – $59 |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $9 | $19 | $18 | 95% | — | $6 – $59 |
| 20 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $3 | $21 | $42 | 202% | — | $2 – $122 |
| 21 | Anthem commercial|exchange fee schedule · outpatient | $6 | $22 | $33 | 152% | 7–70 | $4 – $102 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $4 | $28 | $56 | 202% | — | $2 – $164 |
| 23 | Anthem commercial|all other plans fee schedule · outpatient | $8 | $29 | $44 | 153% | 11 | $5 – $134 |
| 24 | Anthem commercial|mcs fee schedule · outpatient | $9 | $41 | $70 | 172% | — | $6 – $212 |
| 25 | Cigna commercial|all other plans fee schedule · inpatient | $6 | $46 | $93 | 202% | — | $4 – $274 |
Last updated: Feb 28, 2026
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