CPT 83866
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
Mucopolysaccharides screen
Low
$13
Average
$78
Median
$69
High
$142
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 4.0× 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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36 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 4 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $67 | $65 | $3 | 5% | — | $60 – $67 |
| 3 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 4 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 5 | $95 | $99 | $19 | 19% | — | $79 – $131 |
| 5 | Jane Phillips Memorial Medical Center Bartlesville, OK fee schedule · both | 5 | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Jane Phillips Nowata Hospital, Inc. Nowata, OK fee schedule · both | 5 | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $85 | $85 | $2 | 2% | — | $83 – $86 |
| 8 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $67 | $65 | $3 | 5% | — | $60 – $67 |
| 9 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 10 | Margaretville Memorial Hospital Margaretville, NY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $90 | $91 | $10 | 11% | — | $79 – $106 |
| 11 | Methodist Children's Hospital Lubbock, TX fee schedule · outpatient | 4 | $67 | $65 | $3 | 5% | — | $60 – $67 |
| 12 | Methodist Hospital Levelland Levelland, TX fee schedule · outpatient | 4 | $55 | $57 | $5 | 8% | — | $52 – $64 |
| 13 | Methodist Hospital Plainview Plainview, TX fee schedule · outpatient | 4 | $52 | $53 | $3 | 6% | — | $51 – $58 |
| 14 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $142 | $142 | $13 | 9% | — | $129 – $155 |
| 15 | NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient | 3 | $96 | $97 | $14 | 15% | — | $80 – $116 |
| 16 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Owasso Medical Facility, Inc. Owasso, OK fee schedule · both | 5 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 2 | $47 | $47 | $16 | 35% | — | $31 – $63 |
| 19 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 21 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 22 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Rady Children's Hospital - San Diego Murrieta, CA facility · fee schedule · outpatient | 2 | $83 | $83 | $3 | 4% | — | $80 – $86 |
| 24 | St Joseph Hospital of Orange Orange, CA fee schedule · outpatient | 2 | $131 | $131 | $12 | 9% | — | $119 – $143 |
| 25 | St Joseph Health Northern California LLC Fortuna, CA fee schedule · outpatient | 2 | $127 | $127 | $12 | 9% | — | $115 – $139 |
← Payers reporting CPT 83866 · Snapshot 20261113T090226Z-3ce6c0b8