Hemoglobin separation test by chromatography at Platte County 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

LAB HEMOGLOBIN FRCTN&QN CHROMAT NS

Wheatland, WY

See all payers reporting CPT 83021 →

Payers reporting CPT 83021 at Platte County Hospital

Negotiated rates from the hospital’s own file: 7 payers, 15 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 nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
3	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
4	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
5	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
6	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
7	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
8	Bcbs Wy institutional facility · percent of total billed charges · inpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
9	Bcbs Wy institutional facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
10	First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
11	First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
12	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
13	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
14	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
15	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53