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
OTOSCOPE PN HRG LOSS DUP/DEL
Pittsburgh, PA
See all hospitals reporting CPT 81431 →Price type
UPMC Presbyterian’s median price of $2.9k is 310% above the median hospital's median price ($700), higher than 98% of the 1,363 hospitals reporting CPT 81431. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $435 | $435 | — | — | — | $435 – $435 |
| 2 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 3 | Highmark managed care - social mission facility · fee schedule · outpatient | $723 | $723 | — | — | — | $723 – $723 |
| 4 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $734 | $734 | — | — | — | $734 – $734 |
| 5 | Cigna medicare transplant facility · fee schedule · outpatient | $734 | $734 | — | — | — | $734 – $734 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $734 | $734 | — | — | — | $734 – $734 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $734 | $734 | — | — | — | $734 – $734 |
| 8 | Aetna medicare facility · fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 9 | MultiPlan worker's compensation facility · fee schedule · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 10 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $795 | $795 | — | — | — | $795 – $795 |
| 11 | Highmark managed care facility · fee schedule · outpatient | $968 | $968 | — | — | — | $968 – $968 |
| 12 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Highmark commercial - indemnity facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Highmark upmc emergent facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
Last updated: Mar 6, 2026
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