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
SO/HL 51/>GSAP DNA/DNA&RNA
Waco, TX
See all hospitals reporting CPT 81455 →Price type
Ascension Providence’s median price of $2.5k is 19% below the median hospital's median price ($3.0k), higher than 14% of the 1,910 hospitals reporting CPT 81455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 18 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 | Blue Cross Blue Shield 974_bcbs star inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 2 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 3 | Molina 891_molina chip inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Superior Healthplan 817_superior star inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Superior Healthplan 856_superior star plus inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | UnitedHealthcare 852_uhc star plus inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | UnitedHealthcare 894_uhc star kids inpatient 20240901 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | UnitedHealthcare 929_uhc star inpatient 20250701 fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 16 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 17 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 18 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
Last updated: Jan 1, 2026
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