Quantitative immunoassay, not otherwise specified at Good Samaritan Hospital

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

C TISS TRANSGLUTAMINASE IG ADD

Puyallup, WA

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How this price compares nationally

Good Samaritan Hospital’s median price of $18 is 43% below the median hospital's median price ($31), higher than 20% of the 2,576 hospitals reporting CPT 83520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 83520 at Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 11 payers, 24 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	Molina apple health fee schedule · outpatient	$8.63	$8.63	$8.63 – $8.63
2	UnitedHealthcare apple health fee schedule · outpatient	$9.32	$9.32	$9.32 – $9.32
3	Premera hmo fee schedule · outpatient	$17.27	$17.27	$17.27 – $17.27
4	Premera prime fee schedule · outpatient	$17.27	$17.27	$17.27 – $17.27
5	Premera signature fee schedule · outpatient	$17.27	$17.27	$17.27 – $17.27
6	Regence blue high performance fee schedule · outpatient	$17.38	$17.38	$17.38 – $17.38
7	Regence mcc/ahn fee schedule · outpatient	$17.38	$17.38	$17.38 – $17.38
8	Aetna medadvantage fee schedule · outpatient	$17.43	$17.43	$17.43 – $17.43
9	Regence medadvantage fee schedule · outpatient	$17.43	$17.43	$17.43 – $17.43
10	UnitedHealthcare medadvantage fee schedule · outpatient	$17.60	$17.60	$17.60 – $17.60
11	Molina medadvantage fee schedule · outpatient	$17.77	$17.77	$17.77 – $17.77
12	WellCare medadvantage fee schedule · outpatient	$17.77	$17.77	$17.77 – $17.77
13	Regence realvalue fee schedule · outpatient	$17.87	$17.87	$17.87 – $17.87
14	Kaiser ppo fee schedule · outpatient	$19.00	$19.00	$19.00 – $19.00
15	Regence commercial fee schedule · outpatient	$19.86	$19.86	$19.86 – $19.86
16	Cigna all commercial plans fee schedule · outpatient	$20.72	$20.72	$20.72 – $20.72
17	UnitedHealthcare all commercial plans fee schedule · outpatient	$20.72	$20.72	$20.72 – $20.72
18	Premera other commercial plans fee schedule · outpatient	$21.59	$21.59	$21.59 – $21.59
19	Ambetter coordinated care exchange fee schedule · outpatient	$33.85	$33.85	$33.85 – $33.85
20	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$51.10	$51.10	$51.10 – $51.10
21	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$51.10	$51.10	$51.10 – $51.10
22	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$64.24	$64.24	$64.24 – $64.24
23	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$64.24	$64.24	$64.24 – $64.24
24	Aetna all commercial plans fee schedule · outpatient	$80.13	$80.13	$80.13 – $80.13

Last updated: Aug 27, 2026

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