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
TAY-SACHS MUT ANALYSIS
Seneca, PA
See all hospitals reporting CPT 81255 →Price type
UPMC Northwest’s median price of $944 is 1631% above the median hospital's median price ($55), higher than 99% of the 1,621 hospitals reporting CPT 81255. 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, 30 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 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $54 | $54 | $1 | 1% | — | $53 – $54 |
| 3 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 6 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 7 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 8 | Aetna medicaid facility · fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 10 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 11 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 12 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $871 | $871 | — | — | — | $871 – $871 |
| 13 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 14 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 17 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Mar 6, 2026
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