Lab test for Mycobacterium avium complex by DNA probe at UPMC Bedford

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

MYCOBAC AV-INTRA DNA QL RT-PCR

Everett, PA

See all hospitals reporting CPT 87561 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Bedford’s median price of $618 is 1558% above the median hospital's median price ($37), higher than 100% of the 1,587 hospitals reporting CPT 87561. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87561 at UPMC Bedford

Negotiated rates from the hospital’s own file: 7 payers, 34 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 medicare facility · fee schedule · outpatient	$24	$24	$12	48%	—	$13 – $36
2	Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
3	UnitedHealthcare medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Highmark medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	Cigna medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
7	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
8	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$308	$308	—	—	—	$308 – $308
9	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
10	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
13	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
14	Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
15	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$489	$489	—	—	—	$489 – $489
16	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$548	$548	—	—	—	$548 – $548
17	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$568	$568	—	—	—	$568 – $568
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
19	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
20	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
21	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$638	$638	—	—	—	$638 – $638
22	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
23	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
24	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
25	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$648	$648	—	—	—	$648 – $648

Page 1 of 2 · 34 rates

Last updated: Mar 6, 2026

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See Lab test for Mycobacterium avium complex by DNA probe pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.