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
Hepatitis a antibody
Peoria, IL
Negotiated rates from the hospital’s own file: 9 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 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Aetna medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Humana medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 8 | UnitedHealthcare medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | UnitedHealthcare va ccn case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $23 | $23 | $11 | 47% | — | $13 – $34 |
| 12 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $11 | 47% | 2–20 | $13 – $34 |
| 13 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $28 | $28 | $13 | 47% | — | $15 – $41 |
| 14 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | $13 | 47% | — | $15 – $41 |
| 15 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $28 | $28 | $13 | 47% | — | $15 – $41 |
| 16 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $17 | 47% | — | $20 – $53 |
| 17 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $17 | 47% | — | $20 – $53 |
| 18 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $37 | $37 | $17 | 47% | — | $20 – $54 |
| 19 | UnitedHealthcare ppo case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $21 | 47% | — | $24 – $66 |
| 21 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $21 | 47% | — | $25 – $67 |
| 22 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $47 | $47 | $22 | 47% | — | $25 – $69 |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $47 | $47 | $22 | 47% | — | $25 – $69 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $63 | $63 | $29 | 47% | — | $34 – $92 |