Pathology consultation for a moderately complex 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 21-40M

Key West, FL

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Pricing by billing methodology

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How this price compares nationally

Key West HMA LLC’s median price of $65 is 63% below the median hospital's median price ($175), higher than 13% of the 1,482 hospitals reporting CPT 80504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80504 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	$23	$23	—	—	—	$23 – $23
2	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
3	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
4	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
5	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
6	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
7	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
8	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
9	Bcbs Fl bcbs fl bsl facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
10	Bcbs Fl bcbs fl hmo facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
11	Bcbs Fl bcbs fl mbn facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
12	Bcbs Fl bcbs fl nwb facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
13	Bcbs Fl bcbs fl phs facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
14	Bcbs Fl bcbs fl ppo facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
15	Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
16	Humana humana medicaid fl facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
17	WellCare healthease medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
18	WellCare wellcare kids medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
19	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
20	Molina molina medicaid fl facility · other · outpatient	$103	$103	—	—	—	$103 – $103
21	Magellan magellan medicaid fl facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
22	Tricare node tricare facility · fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
23	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
24	Humana node humana mcr adv facility · fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
25	Optum node united optum va ccn facility · fee schedule · outpatient	$191	$191	—	—	—	$191 – $191

Last updated: Apr 1, 2026

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See Pathology consultation for a moderately complex problem pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.