HIV-1 viral load test at Essentia Health Duluth

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

HIV-1, QUANTIFICATION - REF

Duluth, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $85 is 31% below the median hospital's median price ($123), higher than 10% of the 2,608 hospitals reporting CPT 87536. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87536 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 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	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	$33	50%	—	$34 – $100
2	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	$40	50%	—	$41 – $120
3	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	$41	50%	—	$42 – $125
4	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$84	$84	$41	50%	—	$42 – $125
5	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	$41	50%	—	$42 – $125
6	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
7	Blue Cross Blue Shield medicare facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
8	Healthpartners medicare facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
9	Medica medicare facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
10	Ucare medicare facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
11	UnitedHealthcare medicare facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
12	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$87	$87	$43	50%	—	$44 – $130
13	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	$43	50%	—	$44 – $130
14	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	$45	50%	—	$46 – $136
15	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$91	$91	$45	50%	—	$46 – $136
16	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	$45	50%	—	$46 – $136
17	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	$55	50%	—	$56 – $167
18	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$115	$115	$57	50%	—	$58 – $172
19	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$115	$118	$59	50%	—	$56 – $185
20	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$121	$121	$60	50%	—	$61 – $181
21	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$133	$133	$66	50%	—	$67 – $199
22	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	$66	50%	—	$67 – $199
23	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$135	$135	$67	50%	—	$68 – $202
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	$72	50%	—	$73 – $216
25	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	$72	50%	—	$73 – $216

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

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