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
Anti Protenase 3
Perryville, MO
See all hospitals reporting CPT 86021 →Price type
Mercy Perry’s median price of $95 is 304% above the median hospital's median price ($24), higher than 83% of the 2,319 hospitals reporting CPT 86021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 11 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | 2–20 | $61 – $61 |
| 12 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 13 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 14 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 15 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | 2–20 | $64 – $64 |
| 16 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 17 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 18 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 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 | $95 | $95 | — | — | — | $95 – $95 |
| 21 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Blue Cross Blue Shield hb pcmh anthem traditional facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 23 | Anthem hb pcmh anthem blue access facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 24 | Blue Cross Blue Shield hb pcmh anthem blue access facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 25 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
Last updated: Mar 12, 2026
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