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
FORM COMPLETION-BRIEF II
Washington, PA
See all hospitals reporting CPT 99080 →Price type
UPMC Washington’s median price of $23 is 61% below the median hospital's median price ($58), higher than 28% of the 624 hospitals reporting CPT 99080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Aetna medicare facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Aetna commercial facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Aetna advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $19 | $26 | $26 | 101% | — | $2 – $109 |
| 4 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $20 | $28 | $28 | 101% | — | $2 – $117 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $23 | $32 | $32 | 101% | — | $3 – $136 |
| 6 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $25 | $34 | $35 | 101% | — | $3 – $146 |
| 7 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $26 | $35 | $36 | 101% | — | $3 – $150 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $28 | $39 | $39 | 101% | — | $3 – $164 |
| 9 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $33 | $46 | $47 | 101% | — | $4 – $197 |
Last updated: Mar 6, 2026
See Special medical report or insurance form completion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.