CPT 80103
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.
Original text from hospital filings
DRUG ANALYSIS TISSUE PREP
Low
$16
Average
$84
Median
$76
High
$170
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20 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alexian Brothers Behavioral Health Hospital Estates, IL other · both | 3 | $76 | $76 | — | — | — | $76 – $76 |
| 2 | Alexian Brothers Medical Center Village, IL other · both | 4 | $76 | $75 | $1 | 2% | — | $73 – $76 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 2 | $170 | $170 | $9 | 5% | — | $161 – $179 |
| 6 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 2 | $170 | $170 | $9 | 5% | — | $161 – $179 |
| 7 | Norwalk Hospital Norwalk, CT fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Sentara Hospitals Norfolk, VA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Sentara Hospitals Suffolk, VA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 12 | Sentara Hospitals Norfolk, VA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 13 | Sentara Hospitals Virginia Beach, VA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 14 | Sentara Princess Anne Hospital Virginia Beach, VA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 15 | Sentara RMH Medical Center Harrisonburg, VA facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 16 | St. Alexius Medical Center Estates, IL other · both | 4 | $76 | $75 | $1 | 2% | — | $73 – $76 |
| 17 | Texas Health Hospital Mansfield Mansfield, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 18 | Texas Health Huguley Hospital Fort Worth South Burleson, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 19 | The Mount Sinai Hospital New York, NY fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | University of Colorado Hospital Authority Aurora, CO fee schedule · outpatient | 3 | $43 | $41 | $3 | 8% | — | $36 – $43 |
← Payers reporting CPT 80103 · Snapshot 20261113T090226Z-3ce6c0b8