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
RL CYCLOSPORINE A (B)
Hialeah, FL
See all hospitals reporting CPT 80158 →Price type
Hsa Pgh Llc’s median price of $18 is 39% below the median hospital's median price ($29), higher than 7% of the 2,492 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: 15 payers, 37 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 Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Molina molina managed medicaid facility · other · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Cigna cigna healthsprings facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Humana humana commercial hmo facility · other · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Humana humana commercial ppo facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 11 | UnitedHealthcare united healthcare of florida all payer facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 12 | UnitedHealthcare united healthcare of florida exchange facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 13 | UnitedHealthcare united healthcare of florida hmo facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Humana humana medicare hmo facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Humana humana medicare ppo facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Medicare medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 20 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 21 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Devoted devoted health facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 24 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 25 | Molina molina medicare advantage program facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
Last updated: Sep 1, 2026
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