Pathologist consultation for a clinical problem at Key West 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

Key West, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Key West HMA LLC’s median price of $57 is 2% below the median hospital's median price ($58), higher than 48% of the 1,586 hospitals reporting CPT 80503. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80503 at Key West HMA LLC

Negotiated rates from the hospital’s own file: 11 payers, 25 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	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · inpatientfrom % of charges	$17	$17	$5	31%	—	$11 – $22
2	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	$9	31%	—	$19 – $37
3	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$9	31%	—	$19 – $37
4	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	$9	31%	—	$21 – $40
5	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$33	$33	$10	31%	—	$23 – $43
6	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	$10	31%	—	$23 – $43
7	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$36	$36	$11	31%	—	$25 – $48
8	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	$11	31%	—	$25 – $48
9	Bcbs Fl bcbs fl bsl facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
10	Bcbs Fl bcbs fl hmo facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
11	Bcbs Fl bcbs fl mbn facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
12	Bcbs Fl bcbs fl nwb facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
13	Bcbs Fl bcbs fl phs facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
14	Bcbs Fl bcbs fl ppo facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
15	Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient	$47	$47	$15	31%	—	$33 – $62
16	Tricare node tricare facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
17	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
18	Humana node humana mcr adv facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
19	Optum node united optum va ccn facility · fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
20	Humana humana medicaid fl facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
21	WellCare healthease medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
22	WellCare wellcare kids medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
23	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
24	Molina molina medicaid fl facility · other · outpatient	$103	$103	—	—	—	$103 – $103
25	Magellan magellan medicaid fl facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109

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.