PML/RARalpha gene translocation test for leukemia at UPMC Mercy

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

Z03M8 PML/RARALPH SGL BRKNGPNT

Pittsburgh, PA

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How this price compares nationally

UPMC Mercy’s median price of $706 is 227% above the median hospital's median price ($216), higher than 97% of the 1,352 hospitals reporting CPT 81316. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81316 at UPMC Mercy

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	$223	$223	$5	2%	—	$218 – $228
2	Amerihealth Caritas medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
3	Highmark medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
5	Highmark managed care - social mission facility · fee schedule · outpatient	$385	$385	—	—	—	$385 – $385
6	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
7	Highmark medicaid facility · fee schedule · outpatient	$512	$512	—	—	—	$512 – $512
8	Highmark managed care facility · fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
9	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
10	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
11	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$565	$565	—	—	—	$565 – $565
12	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$568	$568	—	—	—	$568 – $568
13	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$576	$576	—	—	—	$576 – $576
14	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$608	$608	—	—	—	$608 – $608
15	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
16	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
17	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
18	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$706	$706	—	—	—	$706 – $706
19	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$706	$706	—	—	—	$706 – $706
20	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
21	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
22	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$761	$761	—	—	—	$761 – $761
23	Highmark commercial - indemnity facility · fee schedule · outpatient	$814	$814	—	—	—	$814 – $814
24	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$817	$817	—	—	—	$817 – $817
25	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$817	$817	—	—	—	$817 – $817

Page 1 of 2 · 29 rates

Last updated: Mar 6, 2026

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See PML/RARalpha gene translocation test for leukemia pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.