Specialist lab consultation with full record review at Northside Hospital, Inc.

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

PATH CLIN CONSULT HIGH 41-60 MIN

Duluth, GA

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Pricing by billing methodology

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How this price compares nationally

Northside Hospital, Inc.’s median price of $410 is 125% above the median hospital's median price ($182), higher than 93% of the 1,471 hospitals reporting CPT 80505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80505 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 68 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	UnitedHealthcare uhc ga individual exchange percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
2	Caresource caresource other · outpatient	$86	$86	—	—	—	$86 – $86
3	UnitedHealthcare uhc heritage select percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
4	UnitedHealthcare uhc hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
5	UnitedHealthcare uhc hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
6	UnitedHealthcare uhc hmo/pos/ppo-t percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
7	Cigna cigna healthsprings medicare advantage other · outpatient	$113	$113	—	—	—	$113 – $113
8	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
9	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
10	Aetna aetna hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
11	Aetna aetna hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
12	Aetna aetna hmo/pos/ppo-q percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
13	Oscar oscar fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
14	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
15	Medicare medicare fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
16	UnitedHealthcare uhc medicare fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
17	Aetna aetna medicare fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
18	Humana humana medicare advantage hmo fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
19	Tricare tricare fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
20	Caresource caresource medicare advantage fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
21	Kaiser kaiser medicare advantage fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
22	WellCare wellcare medicare advantage fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
23	Humana humana medicare advantage ppo fee schedule · outpatient	$175	$175	—	—	—	$175 – $175
24	Clover clover health fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
25	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$242	$242	—	—	—	$242 – $242

Page 1 of 3 · 68 rates

Last updated: Feb 14, 2026

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