{"procedure":{"code_type":"CPT","code":"86738","lay_name":"Blood test for Mycoplasma antibodies","blurb":"A blood test that detects antibodies to Mycoplasma, bacteria that can cause pneumonia and other infections.","slug":"cpt-86738-blood-test-for-mycoplasma-antibodies","description":"HC M Pneumo Igm","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":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":3269,"n_usable":2995,"n_not_usable":0,"n_labelled":155,"n_no_cash":119,"n_estimated":0,"n_states":50,"cash_p10":13.75,"cash_p20":24.0,"cash_p25":28.62,"cash_p50":61.56,"cash_p75":107.77,"cash_p80":122.0,"cash_p90":174.0,"cash_mean_trimmed":64.97,"gross_p50":103.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":16,"p20":27.3,"p50":49.9,"p80":142.38},{"state":"AL","n":43,"p20":19.61,"p50":44.46,"p80":96.85},{"state":"AR","n":29,"p20":18.98,"p50":43.98,"p80":100.1},{"state":"AZ","n":39,"p20":20.26,"p50":97.2,"p80":159.0},{"state":"CA","n":117,"p20":6.0,"p50":11.0,"p80":24.64},{"state":"CO","n":59,"p20":40.61,"p50":80.54,"p80":135.61},{"state":"CT","n":23,"p20":37.95,"p50":48.96,"p80":110.0},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":145,"p20":9.35,"p50":33.6,"p80":106.82},{"state":"GA","n":95,"p20":35.5,"p50":80.5,"p80":144.49},{"state":"HI","n":14,"p20":33.0,"p50":66.6,"p80":133.7},{"state":"IA","n":75,"p20":48.57,"p50":64.61,"p80":90.29},{"state":"ID","n":20,"p20":13.99,"p50":48.88,"p80":82.4},{"state":"IL","n":133,"p20":48.0,"p50":89.0,"p80":165.0},{"state":"IN","n":91,"p20":28.62,"p50":81.75,"p80":140.0},{"state":"KS","n":74,"p20":61.16,"p50":93.6,"p80":146.0},{"state":"KY","n":66,"p20":31.8,"p50":76.95,"p80":166.66},{"state":"LA","n":49,"p20":21.56,"p50":37.0,"p80":77.52},{"state":"MA","n":51,"p20":34.5,"p50":65.0,"p80":108.0},{"state":"MD","n":40,"p20":40.05,"p50":54.34,"p80":65.03},{"state":"ME","n":27,"p20":22.1,"p50":51.0,"p80":109.35},{"state":"MI","n":80,"p20":9.27,"p50":26.52,"p80":108.0},{"state":"MN","n":90,"p20":23.84,"p50":70.14,"p80":98.56},{"state":"MO","n":73,"p20":40.6,"p50":56.4,"p80":126.57},{"state":"MS","n":54,"p20":16.5,"p50":46.62,"p80":74.7},{"state":"MT","n":21,"p20":52.8,"p50":79.26,"p80":103.0},{"state":"NC","n":82,"p20":22.07,"p50":54.32,"p80":100.8},{"state":"ND","n":26,"p20":23.84,"p50":72.0,"p80":102.0},{"state":"NE","n":50,"p20":50.82,"p50":102.6,"p80":146.66},{"state":"NH","n":22,"p20":27.9,"p50":62.01,"p80":182.0},{"state":"NJ","n":56,"p20":14.56,"p50":15.23,"p80":99.45},{"state":"NM","n":19,"p20":42.39,"p50":90.0,"p80":130.0},{"state":"NV","n":18,"p20":13.0,"p50":65.1,"p80":133.52},{"state":"NY","n":106,"p20":15.89,"p50":31.5,"p80":107.0},{"state":"OH","n":135,"p20":27.6,"p50":59.15,"p80":102.75},{"state":"OK","n":69,"p20":22.4,"p50":48.39,"p80":87.84},{"state":"OR","n":41,"p20":27.48,"p50":40.3,"p80":66.66},{"state":"PA","n":119,"p20":20.25,"p50":72.3,"p80":181.2},{"state":"RI","n":10,"p20":30.8,"p50":83.5,"p80":83.9},{"state":"SC","n":51,"p20":61.0,"p50":108.6,"p80":137.8},{"state":"SD","n":20,"p20":56.8,"p50":91.0,"p80":143.1},{"state":"TN","n":78,"p20":23.1,"p50":38.7,"p80":108.9},{"state":"TX","n":217,"p20":28.0,"p50":86.6,"p80":243.62},{"state":"UT","n":39,"p20":42.76,"p50":50.31,"p80":196.13},{"state":"VA","n":73,"p20":23.0,"p50":79.5,"p80":197.84},{"state":"VT","n":14,"p20":55.2,"p50":148.0,"p80":185.0},{"state":"WA","n":60,"p20":37.0,"p50":67.81,"p80":101.5},{"state":"WI","n":102,"p20":50.05,"p50":72.5,"p80":107.97},{"state":"WV","n":41,"p20":8.5,"p50":38.38,"p80":113.0},{"state":"WY","n":16,"p20":41.58,"p50":65.06,"p80":111.54}],"by_segment":{"hospital_type":[{"key":"acute","n":2170,"p20":21.0,"p50":55.2,"p80":120.7},{"key":"childrens","n":52,"p20":18.35,"p50":68.85,"p80":115.3},{"key":"critical_access","n":763,"p20":38.44,"p50":76.0,"p80":125.83}],"ownership":[{"key":"for_profit","n":437,"p20":24.0,"p50":86.6,"p80":246.0},{"key":"government","n":502,"p20":28.0,"p50":58.5,"p80":111.43},{"key":"nonprofit","n":2046,"p20":23.11,"p50":59.15,"p80":109.8}],"affiliation":[{"key":"affiliated","n":2454,"p20":23.18,"p50":62.01,"p80":124.87},{"key":"independent","n":541,"p20":26.82,"p50":60.5,"p80":113.3}]},"histogram":[{"lo":9.27,"hi":12.9,"n":95},{"lo":12.9,"hi":17.95,"n":191},{"lo":17.95,"hi":24.97,"n":214},{"lo":24.97,"hi":34.74,"n":248},{"lo":34.74,"hi":48.33,"n":312},{"lo":48.33,"hi":67.25,"n":386},{"lo":67.25,"hi":93.56,"n":439},{"lo":93.56,"hi":130.18,"n":409},{"lo":130.18,"hi":181.12,"n":275},{"lo":181.12,"hi":252.0,"n":132}],"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":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2254,"n_usable":2039,"n_not_usable":0,"n_labelled":114,"n_no_cash":101,"n_estimated":0,"n_states":50,"cash_p10":15.18,"cash_p20":24.05,"cash_p25":30.0,"cash_p50":60.11,"cash_p75":107.0,"cash_p80":115.05,"cash_p90":157.3,"cash_mean_trimmed":64.06,"gross_p50":102.0,"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":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":30,"p20":28.0,"p50":46.2,"p80":244.87},{"state":"AR","n":10,"p20":17.67,"p50":43.98,"p80":51.0},{"state":"AZ","n":31,"p20":20.26,"p50":140.0,"p80":145.8},{"state":"CA","n":96,"p20":6.25,"p50":11.94,"p80":26.5},{"state":"CO","n":41,"p20":40.61,"p50":72.83,"p80":128.62},{"state":"CT","n":11,"p20":33.6,"p50":44.55,"p80":55.0},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":77,"p20":9.1,"p50":20.15,"p80":75.88},{"state":"GA","n":73,"p20":35.5,"p50":79.0,"p80":144.49},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":41,"p20":48.57,"p50":63.05,"p80":73.45},{"state":"ID","n":12,"p20":13.99,"p50":13.99,"p80":53.95},{"state":"IL","n":105,"p20":48.57,"p50":93.0,"p80":165.0},{"state":"IN","n":64,"p20":35.34,"p50":109.2,"p80":195.0},{"state":"KS","n":22,"p20":39.19,"p50":81.0,"p80":149.34},{"state":"KY","n":41,"p20":31.8,"p50":58.89,"p80":130.84},{"state":"LA","n":29,"p20":20.68,"p50":31.78,"p80":81.6},{"state":"MA","n":42,"p20":30.8,"p50":63.0,"p80":106.5},{"state":"MD","n":32,"p20":40.05,"p50":54.34,"p80":65.46},{"state":"ME","n":21,"p20":17.2,"p50":37.74,"p80":62.22},{"state":"MI","n":64,"p20":9.27,"p50":35.1,"p80":108.0},{"state":"MN","n":72,"p20":16.32,"p50":61.63,"p80":98.56},{"state":"MO","n":39,"p20":45.6,"p50":52.8,"p80":130.9},{"state":"MS","n":35,"p20":28.5,"p50":72.56,"p80":103.0},{"state":"MT","n":11,"p20":48.0,"p50":88.0,"p80":110.0},{"state":"NC","n":44,"p20":18.0,"p50":54.32,"p80":104.23},{"state":"ND","n":19,"p20":23.04,"p50":48.8,"p80":91.8},{"state":"NE","n":19,"p20":41.46,"p50":60.5,"p80":118.15},{"state":"NH","n":16,"p20":27.9,"p50":48.51,"p80":101.2},{"state":"NJ","n":26,"p20":15.23,"p50":15.23,"p80":51.0},{"state":"NM","n":13,"p20":62.0,"p50":91.7,"p80":130.0},{"state":"NV","n":11,"p20":26.7,"p50":58.8,"p80":116.0},{"state":"NY","n":59,"p20":21.05,"p50":47.89,"p80":153.0},{"state":"OH","n":122,"p20":31.57,"p50":59.15,"p80":102.75},{"state":"OK","n":48,"p20":21.4,"p50":46.2,"p80":87.84},{"state":"OR","n":21,"p20":39.75,"p50":40.3,"p80":53.95},{"state":"PA","n":106,"p20":36.18,"p50":83.62,"p80":205.8},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":83.0,"p50":113.5,"p80":137.8},{"state":"SD","n":15,"p20":69.7,"p50":98.1,"p80":135.15},{"state":"TN","n":59,"p20":23.0,"p50":38.13,"p80":48.86},{"state":"TX","n":156,"p20":24.0,"p50":78.6,"p80":107.89},{"state":"UT","n":27,"p20":42.76,"p50":50.31,"p80":50.31},{"state":"VA","n":51,"p20":14.4,"p50":49.2,"p80":119.5},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":44,"p20":32.4,"p50":59.2,"p80":101.5},{"state":"WI","n":84,"p20":58.3,"p50":78.65,"p80":113.95},{"state":"WV","n":19,"p20":37.1,"p50":79.5,"p80":156.0},{"state":"WY","n":8,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1550,"p20":23.1,"p50":55.9,"p80":108.9},{"key":"childrens","n":40,"p20":21.42,"p50":73.03,"p80":115.3},{"key":"critical_access","n":439,"p20":37.45,"p50":74.75,"p80":123.67}],"ownership":[{"key":"for_profit","n":229,"p20":23.37,"p50":72.5,"p80":146.06},{"key":"government","n":273,"p20":24.0,"p50":57.12,"p80":104.23},{"key":"nonprofit","n":1527,"p20":24.64,"p50":60.5,"p80":112.45}],"affiliation":[{"key":"affiliated","n":1736,"p20":24.64,"p50":61.64,"p80":118.4},{"key":"independent","n":303,"p20":23.11,"p50":52.0,"p80":103.7}]},"histogram":[{"lo":9.27,"hi":12.67,"n":69},{"lo":12.67,"hi":17.32,"n":104},{"lo":17.32,"hi":23.67,"n":114},{"lo":23.67,"hi":32.36,"n":176},{"lo":32.36,"hi":44.23,"n":187},{"lo":44.23,"hi":60.45,"n":276},{"lo":60.45,"hi":82.63,"n":268},{"lo":82.63,"hi":112.94,"n":333},{"lo":112.94,"hi":154.37,"n":202},{"lo":154.37,"hi":211.0,"n":116}],"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"}]}