Deamidated gliadin peptide antibody test at Samaritan 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

HC Labcorp 164010 Deamidated Gliadin Antibody Igg

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $31 is 73% above the median hospital's median price ($18), higher than 71% of the 2,384 hospitals reporting CPT 86258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86258 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 37 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	Anthem empire medicaid facility · fee schedule · both	$7	$7	—	—	—	$7 – $7
2	Excellus empire medicaid facility · fee schedule · both	$7	$7	—	—	—	$7 – $7
3	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$10	$10	—	—	—	$10 – $10
4	Anthem empire bcbs medicare advantage facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
5	Excellus blue shield of ne new york medicare adv facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
6	Highmark blue shield of ne new york medicare adv facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
7	UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
8	Aetna aetna medicare advantage facility · fee schedule · both	$13	$13	—	—	—	$13 – $13
9	WellCare wellcare medicare advantage facility · fee schedule · both	$13	$13	—	—	—	$13 – $13
10	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
11	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
12	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$27	$17	$11	62%	22	$5 – $27
13	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$33	$21	$13	62%	—	$6 – $33
14	Anthem empire bcbs blue access facility · fee schedule · both	$28	$28	—	—	—	$28 – $28
15	WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges	$45	$29	$18	62%	—	$8 – $45
16	UnitedHealthcare united healthcare facility · other · both	$30	$30	—	—	9–90	$30 – $30
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$48	$31	$19	62%	—	$9 – $48
18	Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$31	$31	—	—	—	$31 – $31
19	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$31	$31	—	—	—	$31 – $31
20	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$31	$31	—	—	—	$31 – $31
21	Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$31	$31	—	—	—	$31 – $31
22	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$32	$32	—	—	—	$32 – $32
23	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$54	$35	$21	62%	—	$10 – $54
24	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$54	$35	$21	62%	—	$10 – $54
25	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$54	$35	$21	62%	—	$10 – $54

Page 1 of 2 · 37 rates

Last updated: Mar 31, 2026

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