Pathology consultation for a moderately complex problem at Ascension Seton

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

PATH CLIN CONSLTJ MOD 21-40

Kyle, TX

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How this price compares nationally

Ascension Seton’s median price of $166 is 5% below the median hospital's median price ($175), higher than 39% of the 1,482 hospitals reporting CPT 80504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80504 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 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	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
2	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
3	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
4	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
5	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
6	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
7	Tricare 4696_tricare inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
8	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
9	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
10	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$169	$169	—	—	—	$169 – $169
11	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$169	$169	—	—	—	$169 – $169
12	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$289	$289	—	—	—	$289 – $289
13	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$299	$299	—	—	—	$299 – $299
14	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$299	$299	—	—	—	$299 – $299
15	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$588	$588	—	—	—	$588 – $588
16	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$588	$588	—	—	—	$588 – $588
17	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$649	$649	—	—	—	$649 – $649
18	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$717	$717	—	—	—	$717 – $717

Last updated: Jan 1, 2026

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