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
HC REF BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE
Dallas, TX
See all hospitals reporting CPT 81207 →Price type
Baylor Scott & White Heart and Vascular Hospital - Dallas’s median price of $222 is 28% above the median hospital's median price ($174), higher than 63% of the 2,292 hospitals reporting CPT 81207. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 charter facility · fee schedule · outpatient | $35.00 | $35.00 | $35.00 – $35.00 |
| 2 | UnitedHealthcare nexus facility · fee schedule · outpatient | $35.00 | $35.00 | $35.00 – $35.00 |
| 3 | UnitedHealthcare commercial broad facility · fee schedule · outpatient | $39.00 | $39.00 | $39.00 – $39.00 |
| 4 | Superior Healthplan medicaid facility · fee schedule · outpatient | $121.67 | $121.67 | $121.67 – $121.67 |
| 5 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $130.19 | $130.19 | $130.19 – $130.19 |
| 6 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $137.60 | $137.60 | $137.60 – $137.60 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $144.84 | $144.84 | $144.84 – $144.84 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $152.08 | $152.08 | $152.08 – $152.08 |
| 9 | Superior Healthplan medicare facility · fee schedule · outpatient | $152.08 | $152.08 | $152.08 – $152.08 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $162.22 | $162.22 | $162.22 – $162.22 |
| 11 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $173.81 | $173.81 | $173.81 – $173.81 |
| 12 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $181.77 | $181.77 | $181.77 – $181.77 |
| 13 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $221.85 | $221.85 | $221.85 – $221.85 |
| 14 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $238.99 | $238.99 | $238.99 – $238.99 |
| 15 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $261.00 | $261.00 | $261.00 – $261.00 |
| 16 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $301.96 | $296.08 | $66.15 – $569.91 |
| 17 | Ambetter ambetter exchange facility · fee schedule · outpatient | $311.41 | $311.41 | $311.41 – $311.41 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $336.88 | $330.31 | $73.79 – $635.80 |
| 19 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $355.25 | $348.33 | $77.82 – $670.48 |
| 20 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $353.41 | $353.41 | $353.41 – $353.41 |
| 21 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $428.75 | $420.40 | $93.92 – $809.20 |
| 22 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $428.75 | $420.40 | $93.92 – $809.20 |
| 23 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $428.75 | $420.40 | $93.92 – $809.20 |
| 24 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $501.15 | $501.15 | $501.15 – $501.15 |
| 25 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $672.06 | $672.06 | $672.06 – $672.06 |
Last updated: Jun 29, 2026
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