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 LIVER DS ALYS 3 BMRK SRM A
Hialeah, FL
See all hospitals reporting CPT 81517 →Price type
Hsa Pgh Llc’s median price of $176 is 6% below the median hospital's median price ($187), higher than 7% of the 1,663 hospitals reporting CPT 81517. 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, 36 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 | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 4 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Molina molina managed medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Cigna cigna healthsprings facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 7 | UnitedHealthcare united healthcare of florida all payer facility · other · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 8 | UnitedHealthcare united healthcare of florida exchange facility · other · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 9 | UnitedHealthcare united healthcare of florida hmo facility · other · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Humana humana medicare hmo facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 11 | Humana humana medicare ppo facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 12 | Medicare medicare facility · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 13 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 14 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 15 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 16 | Devoted devoted health facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 17 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 18 | Molina molina medicare advantage program facility · fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 19 | Cigna cigna individual family facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 20 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 21 | Oscar oscar health plan hix facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 22 | Humana humana commercial hmo facility · other · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 23 | Cigna cigna surefit facility · fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 24 | Humana humana commercial ppo facility · other · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 25 | Cigna cigna commercial facility · fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
Last updated: Sep 1, 2026
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