☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /CPT
  4. /81313
  5. /Other
CPT 81313

PCA3/KLK3 ANTIGEN

Reported by 7 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$284

Average

$314

Median

$297

High

$439

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1West Virginia University Hospitals, Inc.Morgantown, WV$269$290$56—$166$403
2Camden-Clark Memorial Hospital CorporationParkersburg, WV$269$299$54—$255$403
3Reynolds Memorial Hospital, Inc.Glen Dale, WV$268$284$52—$166$403
4Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$270$439$365—$255$1.3k
5City Hospital, Inc.Martinsburg, WV$270$297$52—$255$403
6Wetzel County Hospital, Inc.New Martinsville, WV$268$284$42—$255$403
7United Hospital CenterBridgeport, WV$270$303$55—$255$403

Look up this code directly

Ask Claude or any MCP client for CPT 81313 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC