Pathologist consultation for a clinical problem at Spohn Hospital Alice

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 CONSLTJ SF 5-20

Alice, TX

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Pricing by billing methodology

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How this price compares nationally

Spohn Hospital Alice’s median price of $55 is 6% below the median hospital's median price ($58), higher than 39% of the 1,595 hospitals reporting CPT 80503. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80503 at Spohn Hospital Alice

Negotiated rates from the hospital’s own file: 7 payers, 16 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 all payer fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	UnitedHealthcare hix fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
3	Aetna mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
4	Bcbs Tx mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
5	Humana bh mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
6	Humana gold choice mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
7	Humana gold plus mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
8	Molina medicare adv mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
9	UnitedHealthcare mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
10	WellCare mm fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
11	Devoted mm fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
12	Bcbs Tx blue advantage hmo fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
13	Bcbs Tx hmo fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
14	Bcbs Tx heb fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
15	Bcbs Tx ppo fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
16	Bcbs Tx traditional fee schedule · outpatient	$261	$261	—	—	—	$261 – $261

Last updated: Jan 13, 2026

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