Special medical report or insurance form completion 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 MED RECORD REV FAA PILOT 90MIN

Rochester, MN

See all hospitals reporting CPT 99080 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic’s median price of $442 is 657% above the median hospital's median price ($58), higher than 98% of the 624 hospitals reporting CPT 99080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99080 at Mayo Clinic

Negotiated rates from the hospital’s own file: 14 payers, 41 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	Blue Cross Blue Shield winona health [1290] professional · percent of total billed charges · outpatientfrom % of charges	$409	$417	$262	63%	—	$52 – $818
2	Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges	$409	$417	$262	63%	—	$52 – $818
3	Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges	$410	$417	$263	63%	—	$52 – $820
4	Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
5	Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
6	Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
7	Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
8	Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
9	Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
10	Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
11	Ucare ucare connect medicare advantage plan [944] professional · percent of total billed charges · outpatientfrom % of charges	$419	$426	$268	63%	—	$53 – $837
12	Healthpartners transplant [629] professional · percent of total billed charges · outpatientfrom % of charges	$423	$431	$271	63%	—	$54 – $846
13	Medica medica [1040] professional · percent of total billed charges · outpatientfrom % of charges	$432	$440	$277	63%	—	$55 – $865
14	Medica medica complete health [17] professional · percent of total billed charges · outpatientfrom % of charges	$432	$440	$277	63%	—	$55 – $865
15	Optum medica medicare advantage plan behavioral health [1351] professional · percent of total billed charges · outpatientfrom % of charges	$432	$440	$277	63%	—	$55 – $865
16	Aetna aetna [1086] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
17	Aetna transplant [351] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
18	Cigna cigna [46] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
19	Cigna cigna gap expection [1391] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
20	Cigna transplant cigna [842] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
21	First Health aetna [1086] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
22	Healthpartners cigna [46] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
23	Healthpartners healthpartners part b medicare advantage plan [496] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
24	Humana cigna [46] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884
25	Humana transplant [351] professional · percent of total billed charges · outpatientfrom % of charges	$442	$450	$283	63%	—	$56 – $884

Page 1 of 2 · 41 rates

Last updated: Aug 14, 2026

Compare to other hospitals

See Special medical report or insurance form completion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.