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

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

Monroeville, 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 East’s median price of $232 is 523% above the median hospital's median price ($37), higher than 95% 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 East

Negotiated rates from the hospital’s own file: 6 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	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	UnitedHealthcare medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	Aetna medicare facility · fee schedule · outpatient	$38	$38	$1	2%	—	$37 – $39
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	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
8	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
9	Highmark managed care - social mission facility · fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
10	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
11	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$203	$203	—	—	—	$203 – $203
12	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$209	$209	—	—	—	$209 – $209
13	Highmark managed care facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
14	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
15	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$226	$226	—	—	—	$226 – $226
16	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$226	$226	—	—	—	$226 – $226
17	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
18	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	—	—	—	$232 – $232
19	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	—	—	—	$232 – $232
20	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	—	—	—	$232 – $232
21	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	—	—	—	$232 – $232
22	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
23	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
24	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$238	$238	—	—	—	$238 – $238

Page 1 of 2 · 37 rates

Last updated: Mar 6, 2026

Compare to other hospitals

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.