Antiprothrombin antibody test at St. Joseph Health System, LLC

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

86849 IMMUNOLOGY PROC, NOS

Wayne, IN

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Pricing by billing methodology

Price type

How this price compares nationally

St. Joseph Health System, LLC’s median price of $254 is 263% above the median hospital's median price ($70), higher than 83% of the 1,182 hospitals reporting CPT 86849. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86849 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 10 payers, 30 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	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$180	$180	$104	58%	—	$76 – $284
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	$104	58%	—	$76 – $284
3	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$202	$202	$117	58%	—	$85 – $319
4	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$202	$202	$117	58%	—	$85 – $319
5	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$202	$202	$117	58%	—	$85 – $319
6	Anthem anthem in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
7	Caresource caresource hhw in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
8	Caresource caresource in hip facility · other · outpatient	$254	$254	—	—	—	$254 – $254
9	Humana humana pathways in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
10	Medicaid in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
11	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
12	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$254	$254	—	—	—	$254 – $254
13	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$148	58%	—	$108 – $404
14	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$256	$256	$148	58%	—	$108 – $404
15	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$151	58%	—	$110 – $411
16	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$277	$277	$160	58%	—	$117 – $438
17	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$379	$379	$219	58%	—	$160 – $598
18	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$219	58%	—	$160 – $598
19	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$384	$384	$222	58%	—	$162 – $607
20	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$384	$384	$222	58%	—	$162 – $607
21	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$418	$418	$242	58%	—	$176 – $659
22	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$418	$418	$242	58%	—	$176 – $659
23	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$434	$434	$251	58%	—	$183 – $686
24	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$434	$434	$251	58%	—	$183 – $686
25	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$446	$446	$258	58%	—	$188 – $703

Page 1 of 2 · 30 rates

Last updated: Apr 1, 2026

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