Unlisted blood and clotting lab procedure at Progress West 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Unlisted Heme+Coag Proc

O'Fallon, MO

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $37 is 24% below the median hospital's median price ($49), higher than 39% of the 1,129 hospitals reporting CPT 85999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 85999 at Progress West Hospital

Negotiated rates from the hospital’s own file: 10 payers, 23 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 bjc hb medicare gold advantage pwc percent of total billed charges · bothfrom % of charges	$9	$9	—	—	—	$9 – $9
2	Aetna bjc hb medicare advantra pwc percent of total billed charges · bothfrom % of charges	$10	$10	—	—	—	$10 – $10
3	UnitedHealthcare bjc hb united health care community percent of total billed charges · bothfrom % of charges	$25	$25	—	—	—	$25 – $25
4	Aetna bjc hb aetna commercial community percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
5	Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
6	Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
7	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$37	$37	—	—	—	$37 – $37
8	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$37	$37	—	—	—	$37 – $37
9	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$37	$37	—	—	—	$37 – $37
10	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$37	$37	—	—	—	$37 – $37
11	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
12	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
13	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
14	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
15	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$40	$40	—	—	—	$40 – $40
16	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$40	$40	—	—	—	$40 – $40
17	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$43	$43	—	—	—	$43 – $43
18	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$43	$43	—	—	—	$43 – $43
19	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44
20	Cigna bjc hb cigna local plus community fee schedule · both	$49	$49	—	—	—	$49 – $49
21	Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges	$50	$50	—	—	—	$50 – $50
22	Cigna bjc hb cigna special community fee schedule · both	$75	$75	—	—	—	$75 – $75
23	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$76	$76	—	—	—	$76 – $76

Last updated: Dec 15, 2025

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