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

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

Seneca, PA

See all hospitals reporting CPT 87561 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

UPMC Northwest’s median price of $506 is 1256% above the median hospital's median price ($37), higher than 99% 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 Northwest

Negotiated rates from the hospital’s own file: 7 payers, 26 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.

Filter by billing methodology

Filter by billing class

#
1	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
2	Aetna medicare facility · fee schedule · outpatient	$36	$36	$0	1%	—	$36 – $37
3	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Highmark medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
7	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
8	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
9	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
10	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
13	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$506	$506	—	—	—	$506 – $506
14	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
15	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
16	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$538	$538	—	—	—	$538 – $538
17	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$541	$541	—	—	—	$541 – $541
18	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$549	$549	—	—	—	$549 – $549
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$549	$549	—	—	—	$549 – $549
20	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$555	$555	—	—	—	$555 – $555
21	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$567	$567	—	—	—	$567 – $567
22	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$567	$567	—	—	—	$567 – $567
23	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$610	$610	—	—	—	$610 – $610
24	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$610	$610	—	—	—	$610 – $610
25	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$741	$741	—	—	—	$741 – $741

Page 1 of 2 · 26 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.