Diluted Russell's viper venom test at Dignity Health

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

2031M RL-A-THROMRISK 3017156

Phoenix, AZ

See all hospitals reporting CPT 85613 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $20 is 19% above the median hospital's median price ($17), higher than 57% of the 2,617 hospitals reporting CPT 85613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 85613 at Dignity Health

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	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
2	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$6	$6	—	—	3–30	$6 – $6
3	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$6	$6	—	—	3–30	$6 – $6
4	Aetna medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
5	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
6	Cigna medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
7	First Health medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
8	Humana medicare\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
9	Optum medicare\|optumcare fee schedule · outpatient	$10	$10	—	—	3–30	$10 – $10
10	UnitedHealthcare medicare\|all other plans fee schedule · outpatient	$10	$10	—	—	3–30	$10 – $10
11	UnitedHealthcare medicare\|dual complete fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
12	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
13	Optum medicare\|optumhealth fee schedule · outpatient	$11	$11	—	—	3–30	$11 – $11
14	Cigna commercial\|exchange fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
15	Cigna commercial\|localplus surefit fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
16	UnitedHealthcare commercial\|dignityhealthemployee fee schedule · outpatient	$23	$24	$7	31%	—	$15 – $33
17	Cigna commercial\|all other plans fee schedule · outpatient	$28	$28	—	—	3–30	$28 – $28
18	Aetna commercial\|all plans fee schedule · outpatient	$30	$30	—	—	3–30	$30 – $30
19	Blue Cross Blue Shield commercial\|maricopafocus fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
20	Blue Cross Blue Shield commercial\|neighborhood fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
21	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$44	$44	—	—	11	$44 – $44
22	Optum commercial\|optumhealth fee schedule · outpatient	$56	$58	$18	31%	—	$38 – $81
23	Blue Cross Blue Shield commercial\|workers comp fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
24	Cigna commercial\|lifesource fee schedule · outpatient	$66	$68	$21	31%	—	$44 – $95
25	First Health commercial\|all plans fee schedule · inpatient	$84	$87	$27	31%	—	$56 – $121

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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