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
MOLEC PATH LEV 4
Birmingham, AL
See all hospitals reporting CPT 81403 →Price type
Affinity Hospital LLC’s median price of $516 is 131% above the median hospital's median price ($223), higher than 88% of the 2,290 hospitals reporting CPT 81403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 2 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 4 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 5 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 6 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 7 | Optum node united optum va ccn facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 9 | Clover node clover health mcr adv facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 10 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 11 | Bcbs Al bcbs al all facility · other · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 12 | Aetna aetna all facility · fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 13 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $278 | $278 | — | — | — | $278 – $278 |
| 14 | Cigna cigna all facility · fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 15 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $663 | $663 | — | — | — | $663 – $663 |
| 16 | First Health first health facility · other · outpatient | $884 | $884 | — | — | — | $884 – $884 |
| 17 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $899 | $899 | — | — | — | $899 – $899 |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $914 | $914 | — | — | — | $914 – $914 |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 1, 2026
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