PML/RARalpha gene translocation test for leukemia at UPMC Northwest

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

Seneca, PA

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How this price compares nationally

UPMC Northwest’s median price of $779 is 261% above the median hospital's median price ($216), higher than 98% 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 Northwest

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	$207	$207	—	—	—	$207 – $207
2	Aetna medicare facility · fee schedule · outpatient	$216	$216	$2	1%	—	$214 – $218
3	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
4	Highmark medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
6	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
7	UnitedHealthcare unison kids facility · fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
8	Aetna medicaid facility · fee schedule · outpatient	$414	$414	—	—	—	$414 – $414
9	Highmark medicaid facility · fee schedule · outpatient	$512	$512	—	—	—	$512 – $512
10	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$539	$539	—	—	—	$539 – $539
11	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$661	$661	—	—	—	$661 – $661
12	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
13	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
14	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
15	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$743	$743	—	—	—	$743 – $743
16	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$815	$815	—	—	—	$815 – $815
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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