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
CYCLOSPORIN A THROUGH BLOOD
Pittsburgh, PA
See all hospitals reporting CPT 80158 →Price type
UPMC Mercy’s median price of $163 is 449% above the median hospital's median price ($30), higher than 91% of the 2,536 hospitals reporting CPT 80158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 29 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 | Aetna medicare facility · fee schedule · outpatient | $19 | $19 | $0 | 2% | — | $19 – $20 |
| 2 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Highmark medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Highmark managed care - social mission facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 9 | Highmark managed care facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 10 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 11 | Highmark commercial - indemnity facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 12 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 14 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 15 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 16 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 17 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 18 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 19 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 20 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 21 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 22 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 23 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 24 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
| 25 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
Last updated: Mar 6, 2026
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