PML/RARalpha gene translocation test for leukemia at UPMC Presbyterian

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 Presbyterian’s median price of $1.1k is 388% above the median hospital's median price ($216), higher than 99% 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 Presbyterian

Negotiated rates from the hospital’s own file: 8 payers, 22 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	Amerihealth Caritas medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
2	Cigna medicare transplant facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
3	Highmark medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
4	UnitedHealthcare medicare facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
5	Aetna medicare facility · fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
6	MultiPlan worker's compensation facility · fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
7	Highmark medicare advantage facility · fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
8	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$414	$414	—	—	—	$414 – $414
9	Highmark managed care - social mission facility · fee schedule · outpatient	$427	$427	—	—	—	$427 – $427
10	Aetna chip/medicaid facility · fee schedule · outpatient	$449	$449	—	—	—	$449 – $449
11	Highmark medicaid facility · fee schedule · outpatient	$512	$512	—	—	—	$512 – $512
12	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
13	Highmark managed care facility · fee schedule · outpatient	$572	$572	—	—	—	$572 – $572
14	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$676	$676	—	—	—	$676 – $676
15	Highmark commercial - indemnity facility · fee schedule · outpatient	$905	$905	—	—	—	$905 – $905
16	Highmark upmc emergent facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

Last updated: Mar 6, 2026

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