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
PML/RARALPHA 1 BREAKPOINT
Clovis, CA
See all hospitals reporting CPT 81316 →Price type
Clovis Community Medical Center’s median price of $207 is 4% below the median hospital's median price ($216), higher than 8% of the 1,352 hospitals reporting CPT 81316. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 2 | Molina managed medi-cal facility · fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 3 | Aetna medicare advantage facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 4 | Aetna medicare hmo for chp facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Aetna ppo facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 7 | Cigna access (pffs) facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 8 | Cigna healthspring facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 10 | Kaiser commercial facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 11 | Kaiser senior advantage medicare facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 15 | Aetna qualified health plan facility · fee schedule · outpatient | $743 | $743 | — | — | — | $743 – $743 |
| 16 | Aetna hmoposppo facility · fee schedule · outpatient | $935 | $935 | — | — | — | $935 – $935 |
Last updated: Sep 11, 2026
See PML/RARalpha gene translocation test for leukemia pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.