Pathologist consultation for a clinical problem at Cocke County HMA, LLC

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

PTH CLIN CONS 5-20M

Newport, TN

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Pricing by billing methodology

Price type

How this price compares nationally

Cocke County HMA, LLC’s median price of $51 is 12% below the median hospital's median price ($58), higher than 25% of the 1,595 hospitals reporting CPT 80503. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80503 at Cocke County HMA, LLC

Negotiated rates from the hospital’s own file: 11 payers, 22 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 uhc community plan facility · case rate · outpatient	$19	$19	—	—	—	$19 – $19
2	Tricare node tricare facility · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
3	UnitedHealthcare uhc hsa facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
4	UnitedHealthcare uhc options ppo facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
5	Humana node humana mcr adv facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
6	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
7	Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
8	Optum node united optum va ccn facility · per diem · outpatient	$51	$51	—	—	—	$51 – $51
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
10	Aetna node aetna mcr adv facility · per diem · outpatient	$51	$51	—	—	—	$51 – $51
11	Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
12	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
13	UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
14	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
15	Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
16	Ambetter node ambetter health exchange facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
17	Cigna cigna all facility · fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
18	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$356	$356	—	—	—	$356 – $356
19	MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges	$447	$447	—	—	—	$447 – $447
20	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$447	$447	—	—	—	$447 – $447
21	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
22	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573

Last updated: Apr 1, 2026

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See Pathologist consultation for a clinical problem pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.