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
CYCLOSPORINE - REF
Duluth, MN
See all hospitals reporting CPT 80158 →Price type
Essentia Health Duluth’s median price of $65 is 119% above the median hospital's median price ($30), higher than 73% of the 2,536 hospitals reporting CPT 80158. 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, 34 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 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Healthpartners medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Medica medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Ucare medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 11 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 12 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 13 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Sanford Health Plan commercial facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 16 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 18 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 19 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 20 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 21 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 22 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | $4 | 5% | — | $80 – $88 |
| 23 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 24 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 25 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
Last updated: Jan 1, 2026
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