{"procedure":{"code_type":"CPT","code":"86609","lay_name":"Antibody test for a bacterium not otherwise specified","blurb":"Blood test for antibodies to a bacterium that has no specific code of its own; billed once for each organism tested.","slug":"cpt-86609-antibody-test-for-a-bacterium-not-otherwise-specified","description":"HC Listeria Antibody by Cf CSF","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"235","label":"Other Laboratory","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2438,"n_usable":2224,"n_not_usable":3,"n_labelled":117,"n_no_cash":93,"n_estimated":1,"n_states":50,"cash_p10":13.44,"cash_p20":22.08,"cash_p25":25.22,"cash_p50":48.1,"cash_p75":89.5,"cash_p80":102.84,"cash_p90":166.8,"cash_mean_trimmed":52.14,"gross_p50":86.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":14,"p20":14.82,"p50":27.74,"p80":109.0},{"state":"AL","n":25,"p20":12.8,"p50":26.0,"p80":108.5},{"state":"AR","n":19,"p20":20.02,"p50":40.95,"p80":67.64},{"state":"AZ","n":29,"p20":38.96,"p50":135.0,"p80":147.75},{"state":"CA","n":86,"p20":6.08,"p50":28.0,"p80":52.73},{"state":"CO","n":36,"p20":30.01,"p50":73.83,"p80":139.7},{"state":"CT","n":13,"p20":47.88,"p50":57.0,"p80":79.75},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":84,"p20":4.97,"p50":21.05,"p80":73.6},{"state":"GA","n":80,"p20":26.32,"p50":26.91,"p80":83.02},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":28,"p20":30.4,"p50":48.57,"p80":48.57},{"state":"ID","n":11,"p20":41.6,"p50":49.0,"p80":137.73},{"state":"IL","n":103,"p20":26.73,"p50":67.5,"p80":133.92},{"state":"IN","n":83,"p20":22.2,"p50":44.1,"p80":76.8},{"state":"KS","n":51,"p20":28.2,"p50":49.92,"p80":100.0},{"state":"KY","n":47,"p20":22.8,"p50":38.95,"p80":90.89},{"state":"LA","n":31,"p20":16.0,"p50":43.47,"p80":80.0},{"state":"MA","n":40,"p20":32.19,"p50":60.0,"p80":113.32},{"state":"MD","n":33,"p20":66.09,"p50":90.56,"p80":105.71},{"state":"ME","n":16,"p20":56.1,"p50":122.0,"p80":147.7},{"state":"MI","n":61,"p20":6.79,"p50":20.0,"p80":70.3},{"state":"MN","n":48,"p20":15.68,"p50":47.06,"p80":68.94},{"state":"MO","n":64,"p20":31.65,"p50":41.6,"p80":93.6},{"state":"MS","n":24,"p20":16.46,"p50":29.63,"p80":62.71},{"state":"MT","n":10,"p20":36.8,"p50":45.6,"p80":51.2},{"state":"NC","n":63,"p20":14.82,"p50":43.0,"p80":81.6},{"state":"ND","n":13,"p20":30.4,"p50":62.0,"p80":121.0},{"state":"NE","n":22,"p20":28.0,"p50":55.25,"p80":119.18},{"state":"NH","n":19,"p20":37.02,"p50":60.76,"p80":108.3},{"state":"NJ","n":53,"p20":14.17,"p50":14.81,"p80":37.22},{"state":"NM","n":12,"p20":46.9,"p50":67.1,"p80":101.0},{"state":"NV","n":17,"p20":25.0,"p50":63.0,"p80":126.7},{"state":"NY","n":86,"p20":12.88,"p50":41.6,"p80":81.0},{"state":"OH","n":121,"p20":45.6,"p50":91.2,"p80":143.5},{"state":"OK","n":51,"p20":18.96,"p50":43.2,"p80":82.56},{"state":"OR","n":28,"p20":5.25,"p50":39.26,"p80":73.6},{"state":"PA","n":111,"p20":19.32,"p50":53.6,"p80":136.2},{"state":"RI","n":10,"p20":31.15,"p50":43.0,"p80":82.0},{"state":"SC","n":43,"p20":33.6,"p50":60.0,"p80":83.25},{"state":"SD","n":13,"p20":25.6,"p50":32.0,"p80":81.0},{"state":"TN","n":70,"p20":13.5,"p50":23.1,"p80":49.73},{"state":"TX","n":172,"p20":39.3,"p50":68.0,"p80":166.8},{"state":"UT","n":32,"p20":132.09,"p50":176.13,"p80":207.21},{"state":"VA","n":61,"p20":22.08,"p50":42.8,"p80":132.6},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":60,"p20":27.04,"p50":45.43,"p80":67.68},{"state":"WI","n":70,"p20":25.0,"p50":32.33,"p80":89.7},{"state":"WV","n":32,"p20":22.8,"p50":38.23,"p80":61.0},{"state":"WY","n":9,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1693,"p20":20.43,"p50":46.6,"p80":97.63},{"key":"childrens","n":27,"p20":27.19,"p50":48.0,"p80":145.05},{"key":"critical_access","n":497,"p20":26.4,"p50":52.65,"p80":113.07}],"ownership":[{"key":"for_profit","n":328,"p20":22.31,"p50":51.0,"p80":154.5},{"key":"government","n":330,"p20":21.0,"p50":49.92,"p80":100.8},{"key":"nonprofit","n":1559,"p20":21.85,"p50":47.0,"p80":94.85}],"affiliation":[{"key":"affiliated","n":1860,"p20":22.04,"p50":48.0,"p80":105.6},{"key":"independent","n":364,"p20":23.0,"p50":49.0,"p80":100.0}]},"histogram":[{"lo":8.74,"hi":12.12,"n":69},{"lo":12.12,"hi":16.8,"n":153},{"lo":16.8,"hi":23.3,"n":160},{"lo":23.3,"hi":32.31,"n":280},{"lo":32.31,"hi":44.8,"n":280},{"lo":44.8,"hi":62.12,"n":280},{"lo":62.12,"hi":86.14,"n":322},{"lo":86.14,"hi":119.44,"n":207},{"lo":119.44,"hi":165.61,"n":138},{"lo":165.61,"hi":229.64,"n":114}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1698,"n_usable":1541,"n_not_usable":1,"n_labelled":75,"n_no_cash":81,"n_estimated":0,"n_states":50,"cash_p10":14.81,"cash_p20":24.0,"cash_p25":27.0,"cash_p50":51.0,"cash_p75":84.75,"cash_p80":99.75,"cash_p90":151.0,"cash_mean_trimmed":53.27,"gross_p50":89.7,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":16,"p20":23.99,"p50":35.52,"p80":120.75},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":24,"p20":53.09,"p50":135.0,"p80":147.75},{"state":"CA","n":75,"p20":6.08,"p50":28.0,"p80":57.0},{"state":"CO","n":22,"p20":30.01,"p50":62.27,"p80":73.83},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":33,"p20":3.0,"p50":7.0,"p80":85.7},{"state":"GA","n":61,"p20":26.32,"p50":26.91,"p80":61.45},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":31.2,"p50":48.57,"p80":48.57},{"state":"ID","n":5,"p20":null,"p50":null,"p80":null},{"state":"IL","n":79,"p20":28.11,"p50":50.17,"p80":82.08},{"state":"IN","n":61,"p20":29.0,"p50":46.2,"p80":79.75},{"state":"KS","n":11,"p20":28.2,"p50":39.6,"p80":95.0},{"state":"KY","n":27,"p20":21.7,"p50":22.8,"p80":90.6},{"state":"LA","n":16,"p20":18.92,"p50":54.4,"p80":124.15},{"state":"MA","n":35,"p20":30.1,"p50":62.0,"p80":111.0},{"state":"MD","n":25,"p20":58.86,"p50":90.56,"p80":107.33},{"state":"ME","n":13,"p20":55.1,"p50":145.05,"p80":183.65},{"state":"MI","n":44,"p20":6.08,"p50":16.8,"p80":70.3},{"state":"MN","n":44,"p20":13.44,"p50":47.06,"p80":68.94},{"state":"MO","n":33,"p20":34.8,"p50":40.2,"p80":117.6},{"state":"MS","n":19,"p20":32.09,"p50":52.66,"p80":82.28},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":42,"p20":7.28,"p50":29.43,"p80":61.45},{"state":"ND","n":11,"p20":30.4,"p50":58.5,"p80":107.3},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":12,"p20":24.79,"p50":56.16,"p80":75.6},{"state":"NJ","n":24,"p20":14.81,"p50":14.81,"p80":114.0},{"state":"NM","n":10,"p20":46.9,"p50":71.0,"p80":91.0},{"state":"NV","n":11,"p20":25.0,"p50":50.4,"p80":88.13},{"state":"NY","n":52,"p20":24.0,"p50":47.7,"p80":81.0},{"state":"OH","n":113,"p20":45.6,"p50":91.2,"p80":143.5},{"state":"OK","n":35,"p20":14.0,"p50":28.0,"p80":82.56},{"state":"OR","n":14,"p20":5.25,"p50":5.25,"p80":45.65},{"state":"PA","n":98,"p20":36.5,"p50":72.0,"p80":148.5},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":32,"p20":53.95,"p50":75.4,"p80":86.0},{"state":"SD","n":10,"p20":30.4,"p50":32.0,"p80":81.0},{"state":"TN","n":55,"p20":12.0,"p50":22.5,"p80":34.32},{"state":"TX","n":126,"p20":41.0,"p50":65.4,"p80":166.8},{"state":"UT","n":25,"p20":176.13,"p50":176.13,"p80":207.21},{"state":"VA","n":40,"p20":2.5,"p50":31.35,"p80":80.5},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":45,"p20":27.3,"p50":45.43,"p80":67.68},{"state":"WI","n":56,"p20":25.0,"p50":41.38,"p80":89.7},{"state":"WV","n":10,"p20":22.8,"p50":23.51,"p80":39.33},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1221,"p20":23.0,"p50":50.05,"p80":91.61},{"key":"childrens","n":22,"p20":30.0,"p50":43.0,"p80":145.05},{"key":"critical_access","n":291,"p20":26.53,"p50":55.68,"p80":113.32}],"ownership":[{"key":"for_profit","n":166,"p20":22.8,"p50":51.03,"p80":135.0},{"key":"government","n":188,"p20":23.1,"p50":50.4,"p80":90.75},{"key":"nonprofit","n":1180,"p20":24.13,"p50":51.2,"p80":97.63}],"affiliation":[{"key":"affiliated","n":1327,"p20":24.32,"p50":52.2,"p80":102.96},{"key":"independent","n":214,"p20":21.0,"p50":47.0,"p80":89.76}]},"histogram":[{"lo":7.28,"hi":10.1,"n":19},{"lo":10.1,"hi":14.01,"n":56},{"lo":14.01,"hi":19.44,"n":79},{"lo":19.44,"hi":26.97,"n":157},{"lo":26.97,"hi":37.43,"n":205},{"lo":37.43,"hi":51.92,"n":185},{"lo":51.92,"hi":72.04,"n":258},{"lo":72.04,"hi":99.95,"n":200},{"lo":99.95,"hi":138.67,"n":114},{"lo":138.67,"hi":192.4,"n":117}],"previous":null}},"related":[{"code_type":"CPT","code":"36415","lay_name":"Routine blood draw from a vein","slug":"cpt-36415-routine-blood-draw-from-a-vein"},{"code_type":"CPT","code":"80076","lay_name":"Liver function blood panel","slug":"cpt-80076-liver-function-blood-panel"},{"code_type":"CPT","code":"80061","lay_name":"Cholesterol blood panel","slug":"cpt-80061-cholesterol-blood-panel"},{"code_type":"CPT","code":"86900","lay_name":"ABO blood type test","slug":"cpt-86900-abo-blood-type-test"},{"code_type":"CPT","code":"86901","lay_name":"Rh blood type test","slug":"cpt-86901-rh-blood-type-test"},{"code_type":"CPT","code":"86140","lay_name":"C-reactive protein blood test","slug":"cpt-86140-c-reactive-protein-blood-test"},{"code_type":"CPT","code":"80202","lay_name":"Vancomycin blood level","slug":"cpt-80202-vancomycin-blood-level"},{"code_type":"CPT","code":"86850","lay_name":"Red blood cell antibody screen","slug":"cpt-86850-red-blood-cell-antibody-screen"},{"code_type":"CPT","code":"80164","lay_name":"Valproic acid blood level, total","slug":"cpt-80164-valproic-acid-blood-level-total"},{"code_type":"CPT","code":"86762","lay_name":"Blood test for rubella antibodies","slug":"cpt-86762-blood-test-for-rubella-antibodies"},{"code_type":"CPT","code":"80162","lay_name":"Digoxin blood level, total","slug":"cpt-80162-digoxin-blood-level-total"},{"code_type":"CPT","code":"86803","lay_name":"Hepatitis C antibody blood test","slug":"cpt-86803-hepatitis-c-antibody-blood-test"}]}