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 MAYOCOMPLETE GIST PANEL TEST (MCGST)
Low
$179
Average
$588
Median
$718
High
$895
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 3.1× 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.
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13 hospital rates
iThe hospitals that file a Medicaid 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 2 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 1 | $718 | $718 | — | — | — | $718 – $718 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 4 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $895 | $895 | — | — | — | $895 – $895 |
| 5 | Hackettstown Medical Center Hackettstown, NJ fee schedule · both | 1 | $718 | $718 | — | — | — | $718 – $718 |
| 6 | Henry Ford Health Novi, MI other · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 7 | Henry Ford Health Twp, MI other · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 8 | Henry Ford Health Southfield, MI other · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 9 | Henry Ford Health Rochester, MI other · outpatient | 1 | $484 | $484 | — | — | — | $484 – $484 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 11 | Morristown Medical Center Morristown, NJ fee schedule · both | 1 | $718 | $718 | — | — | — | $718 – $718 |
| 12 | Newton Medical Center Newton, NJ fee schedule · both | 1 | $718 | $718 | — | — | — | $718 – $718 |
| 13 | Overlook Medical Center Summit, NJ fee schedule · both | 1 | $718 | $718 | — | — | — | $718 – $718 |
← Payers reporting CPT 81457 · Snapshot 20261111T120946Z-9134e7f7