Hemoglobin separation test by chromatography at Mercy Perry

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

Hemoglobin F Chromatography

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $70 is 164% above the median hospital's median price ($26), higher than 83% of the 2,389 hospitals reporting CPT 83021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 83021 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
2	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
3	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$22	$22	—	—	—	$22 – $22
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
6	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
23	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
24	MultiPlan hb pcmh multiplan facility · percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
25	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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