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 MOPATH PROCEDURE LEVEL 4
Low
$1
Average
$308
Median
$248
High
$4.7k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 2085 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $208 | $228 | $43 | 19% | 302–320 | $185 – $296 |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $185 | $185 | $0 | 0% | 35–350 | $185 – $185 |
| 3 | Harrison Medical Center Silverdale, WA | $502 | $454 | $198 | 44% | 18–180 | $185 – $873 |
| 4 | University of Iowa Health Care Medical Center Iowa City, IA | $189 | $243 | $141 | 58% | 15–150 | $176 – $619 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA | $210 | $221 | $15 | 7% | 12–120 | $210 – $243 |
| 6 | Benefis Hospitals Inc Falls, MT | $278 | $355 | $351 | 99% | 9–90 | $185 – $1.9k |
| 7 | Dignity Health Long Beach, CA | $185 | $270 | $167 | 62% | 9–90 | $54 – $926 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA | $210 | $221 | $15 | 7% | 8–80 | $210 – $243 |
| 9 | Commonspirit Oregon Roseburg, OR | $496 | $581 | $356 | 61% | 5–50 | $146 – $1.4k |
| 10 | Dignity Health Sacramento, CA | $195 | $240 | $89 | 37% | 4–40 | $70 – $547 |
Ask Claude or any MCP client for CPT 81403 pricing at a specific hospital — see how to connect.