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
LIVER DS ALYS 3 BMRK SRM ALG
Waco, TX
See all hospitals reporting CPT 81517 →Price type
Ascension Providence’s median price of $180 is 4% below the median hospital's median price ($187), higher than 28% of the 1,663 hospitals reporting CPT 81517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Tricare 877_tricare outpatient 20250101 other · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Tricare 986_tricare inpatient 20251001 other · inpatient | $176 | $176 | — | — | — | $176 – $176 |
| 3 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 4 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $176 | $176 | — | — | — | $176 – $176 |
| 5 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 6 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $180 | $180 | — | — | — | $180 – $180 |
| 7 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 8 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $180 | $180 | — | — | — | $180 – $180 |
| 9 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 10 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $264 | $264 | — | — | — | $264 – $264 |
Last updated: Jan 1, 2026
See Liver fibrosis blood test for three markers pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.