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
$762
Average
$1.8k
Median
$897
High
$25.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 2.3× 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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57 hospital rates
iThe hospitals that file a Tricare 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 3 | Ascension Providence Waco, TX other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 4 | Ascension Providence Waco, TX other · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 5 | Ascension Seton Austin, TX other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 7 | Ascension Seton Bastrop, TX other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 9 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 10 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $787 | $787 | — | — | — | $787 – $787 |
| 11 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 14 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 15 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 16 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 17 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 18 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $870 | $870 | — | — | — | $870 – $870 |
| 20 | Henry Ford Health Township, MI other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 21 | Henry Ford Health Township, MI other · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 22 | Henry Ford Health Detroit, MI other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 23 | Henry Ford Health Detroit, MI other · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 24 | Henry Ford Health Warren, MI other · inpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 25 | Henry Ford Health Warren, MI other · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
← Payers reporting CPT 81457 · Snapshot 20261111T120946Z-9134e7f7