Beta-globin gene duplication or deletion analysis 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

BETA GLOB CLUST LOC D/D VAR

Pittsburgh, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Presbyterian’s median price of $1.9k is 804% above the median hospital's median price ($213), higher than 100% of the 1,704 hospitals reporting CPT 81363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81363 at UPMC Presbyterian

Negotiated rates from the hospital’s own file: 8 payers, 20 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 medicare advantage facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
2	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
3	Highmark managed care - social mission facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
4	Amerihealth Caritas medicare facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
5	Cigna medicare transplant facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
6	Highmark medicare facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
8	Aetna medicare facility · fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
9	MultiPlan worker's compensation facility · fee schedule · outpatient	$233	$233	—	—	—	$233 – $233
10	Highmark managed care facility · fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
11	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
12	Highmark commercial - indemnity facility · fee schedule · outpatient	$456	$456	—	—	—	$456 – $456
13	Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$532	$532	—	—	—	$532 – $532
14	Highmark upmc emergent facility · fee schedule · outpatient	$577	$577	—	—	—	$577 – $577
15	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
16	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
17	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
18	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
19	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
20	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k

Last updated: Mar 6, 2026

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