CPT 81313
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
HC PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO
Low
$81
Average
$311
Median
$262
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
36 payers; the 90th percentile is 3.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +2 other terms | 49 | $255 | $246 | $39 | 16% | — | $91 – $288 |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 42 | $115 | $179 | $122 | 68% | — | $74 – $523 |
| 3 | Aetna case rate · outpatient · +1 other terms | 38 | $260 | $254 | $17 | 7% | — | $193 – $264 |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 29 | $255 | $216 | $73 | 34% | — | $81 – $268 |
| 5 | Anthem facility · case rate · outpatient · +1 other terms | 22 | $123 | $225 | $237 | 105% | — | $72 – $1.0k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 22 | $121 | $215 | $148 | 69% | — | $72 – $510 |
| 7 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 14 | $255 | $314 | $103 | 33% | — | $132 – $583 |
| 8 | Optum facility · case rate · outpatient | 14 | $97 | $125 | $57 | 46% | — | $77 – $260 |
| 9 | WellCare case rate · outpatient · +1 other terms | 14 | $258 | $264 | $10 | 4% | — | $255 – $281 |
| 10 | Ambetter case rate · outpatient · +1 other terms | 13 | $370 | $304 | $153 | 50% | — | $0 – $408 |
← Hospitals reporting CPT 81313 · Snapshot 20261113T090226Z-3ce6c0b8