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.
Original text from hospital filings
LAB PROC PATHOLOGY MOLEC LEVEL 4
Page, AZ
See all hospitals reporting CPT 81403 →Price type
Page Hospital’s median price of $327 is 46% above the median hospital's median price ($223), higher than 70% of the 2,290 hospitals reporting CPT 81403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 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 | Humana medicare advantage facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $10 | 5% | — | $189 – $209 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $293 | $293 | $15 | 5% | — | $277 – $308 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $16 | 5% | — | $295 – $327 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $16 | 5% | — | $295 – $327 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $16 | 5% | — | $295 – $327 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $16 | 5% | — | $295 – $327 |
| 8 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | $16 | 5% | — | $295 – $327 |
| 9 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $323 | $323 | $17 | 5% | — | $306 – $339 |
| 10 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $342 | $342 | $18 | 5% | — | $324 – $360 |
| 11 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $347 | $347 | $18 | 5% | — | $329 – $365 |
| 12 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $370 | $370 | $19 | 5% | — | $351 – $389 |
| 13 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $389 | $389 | $20 | 5% | — | $368 – $409 |
| 14 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | $22 | 5% | — | $401 – $445 |
| 15 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $426 | $426 | $22 | 5% | — | $404 – $448 |
| 16 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $24 | 5% | — | $439 – $487 |
| 17 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $24 | 5% | — | $439 – $487 |
| 18 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $24 | 5% | — | $439 – $487 |
| 19 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $513 | $513 | $27 | 5% | — | $486 – $540 |
| 20 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $523 | $523 | $27 | 5% | — | $495 – $550 |
| 21 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $523 | $523 | $27 | 5% | — | $495 – $550 |
| 22 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $533 | $533 | $28 | 5% | — | $505 – $560 |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $540 | $540 | $28 | 5% | — | $512 – $568 |
| 24 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $540 | $540 | $28 | 5% | — | $512 – $568 |
Last updated: Mar 2, 2026
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