Microscopic examination of surgical margins

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

Micro w exam of surg margins

Payers reporting HCPCS D0474

Payer pricing summary

Low

$21

Average

$161

Median

$84

High

$1.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +3 other terms	70	$197	$347	$222	64%	—	$46 – $631
2	Molina facility · case rate · outpatient · +5 other terms	29	$32	$31	$10	32%	—	$15 – $57
3	Aetna fee schedule · outpatient · +8 other terms	27	$66	$131	$95	73%	—	$40 – $478
4	UnitedHealthcare professional · fee schedule · outpatient · +8 other terms	19	$110	$135	$50	37%	—	$52 – $260
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 · +5 other terms	14	$358	$343	$83	24%	—	$148 – $528
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	$175	$173	$14	8%	—	$72 – $175
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$48	$50	$3	5%	—	$48 – $55
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	$248	$248	—	—	—	$248 – $248
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$70	$70	—	—	—	$70 – $70
15	Medica fee schedule · outpatient · +2 other terms	3	$84	$84	—	—	—	$84 – $84
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	$147	$147	—	—	—	$147 – $147
19	Bcbs Mn fee schedule · outpatient	1	$358	$358	—	—	—	$358 – $358
20	Bcbs Nv fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
21	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$71	$71	$8	11%	—	$63 – $79
22	Bcbs Vt professional · fee schedule · outpatient	1	$97	$97	—	—	—	$97 – $97
23	Healthpartners facility · fee schedule · outpatient	1	$226	$226	—	—	—	$226 – $226
24	WellCare facility · case rate · outpatient	1	$21	$21	—	—	—	$21 – $21