Dental pathology lab exam and report

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gross exam, prep & report

Payers reporting HCPCS D0472

Payer pricing summary

Low

$21

Average

$68

Median

$53

High

$180

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +3 other terms	70	$123	$152	$90	59%	—	$29 – $266
2	Molina facility · case rate · outpatient · +5 other terms	29	$32	$31	$10	32%	—	$15 – $57
3	Aetna fee schedule · outpatient · +7 other terms	27	$44	$73	$50	69%	—	$21 – $274
4	UnitedHealthcare professional · fee schedule · outpatient · +7 other terms	19	$47	$66	$25	38%	—	$32 – $122
5	Anthem facility · case rate · outpatient · +5 other terms	15	$34	$37	$9	23%	—	$23 – $57
6	Caresource facility · case rate · outpatient · +1 other terms	15	$35	$37	$8	23%	—	$23 – $59
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	14	$128	$119	$42	35%	—	$26 – $223
8	Optum facility · case rate · outpatient · +1 other terms	13	$31	$33	$9	28%	—	$20 – $52
9	Highmark fee schedule · outpatient · +1 other terms	11	$62	$64	$9	15%	—	$62 – $161
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$30	$30	$1	2%	—	$28 – $30
11	Aetna Better Health facility · case rate · outpatient	7	$25	$25	$0	1%	—	$24 – $25
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$23	$23	$1	3%	—	$23 – $25
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	4	$180	$180	—	—	—	$180 – $180
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$51	$51	—	—	—	$51 – $51
15	Medica fee schedule · outpatient · +2 other terms	3	$53	$53	—	—	—	$53 – $53
16	Wellmark facility · case rate · outpatient	3	$79	$69	$22	32%	—	$32 – $87
17	Medicaid facility · case rate · outpatient	2	$21	$21	—	—	—	$21 – $21
18	Bcbs Id professional · fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
19	Bcbs Mn fee schedule · outpatient	1	$128	$128	—	—	—	$128 – $128
20	Bcbs Nv fee schedule · outpatient	1	$36	$36	—	—	—	$36 – $36
21	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$48	$48	$6	12%	—	$42 – $53
22	Bcbs Vt professional · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
23	Healthpartners facility · fee schedule · outpatient	1	$95	$95	—	—	—	$95 – $95
24	WellCare facility · case rate · outpatient	1	$21	$21	—	—	—	$21 – $21