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
RAXT)/PF 30 MCG/0.3 ML SYR
Hialeah, FL
See all hospitals reporting CPT 91321 →Price type
Hsa Pgh Llc’s median price of $85 is 52% below the median hospital's median price ($178), higher than 6% of the 1,392 hospitals reporting CPT 91321. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 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 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Molina molina managed medicaid facility · other · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Humana humana medicare hmo facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Humana humana medicare ppo facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 9 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 10 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 11 | Devoted devoted health facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 12 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Molina molina medicare advantage program facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Cigna cigna healthsprings facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 18 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 19 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 20 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 21 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 22 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 23 | Cigna cigna individual family facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 24 | Cigna cigna surefit facility · fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 25 | Cigna cigna commercial facility · fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
Last updated: Sep 1, 2026
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