Pathology consultation for a moderately complex problem at Mayo Clinic

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

PR PATH CONSULT MOD COMPLEX 21-40 MIN

Rochester, MN

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How this price compares nationally

Mayo Clinic’s median price of $350 is 100% above the median hospital's median price ($175), higher than 92% of the 1,490 hospitals reporting CPT 80504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80504 at Mayo Clinic

Negotiated rates from the hospital’s own file: 16 payers, 54 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	Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
2	Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
3	Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
4	Optum veteran affairs optum [1054] professional · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
5	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
6	Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient	$51	$51	—	—	1–10	$51 – $51
7	Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
8	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
9	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
10	Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
11	Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient	$58	$58	—	—	1–10	$58 – $58
12	Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
13	Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
14	Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
15	Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
16	Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
17	Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
18	Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	1–10	$331 – $331
19	Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
20	Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	1–10	$331 – $331
21	Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
22	Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
23	Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
24	Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
25	Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331

Page 1 of 3 · 54 rates

Last updated: Aug 14, 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.