Price Checker / CPT 80503
CPT 80503 — Path clin consltj sf 5-20
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$18
What Medicare pays in a hospital/ASC setting
$26
What Medicare pays in a physician's office
$768
Based on 16 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 80503
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| PAM Health Rehabilitation Hospital of Golden , CO | $768 | $768 | 2809% |
| PAM Health Rehabilitation Hospital of Miamisburg , OH | $768 | $768 | 2809% |
| PAM Health Rehabilitation Hospital of Surprise , AZ | $768 | $768 | 2809% |
| PAM Health Rehabilitation Hospital of Westminster , CO | $768 | $768 | 2809% |
| PAM Health Specialty Hospital at Heritage Valley , PA | $768 | $768 | 2809% |
| PAM Health Specialty Hospital of Miamisburg , OH | $768 | $768 | 2809% |
| PAM Health Specialty Hospital of Pittsburgh , PA | $768 | $768 | 2809% |
| PAM Health Specialty Hospital of Stoughton , MA | $768 | $768 | 2809% |
| PAM Rehabilitation Hospital of Tulsa , OK | $768 | $768 | 2809% |
| PAM Specialty Hospital of Covington , LA | $768 | $768 | 2809% |
| PAM Specialty Hospital of Hammond , LA | $768 | $768 | 2809% |
| PAM Specialty Hospital of Rocky Mount , NC | $768 | $768 | 2809% |
| PAM Specialty Hospital of Tulsa , OK | $768 | $768 | 2809% |
| PAM Specialty Hospital of Wilkes-Barre , PA | $768 | $768 | 2809% |
| Rehabilitation Hospital of Overland Park , KS | $768 | $768 | 2809% |
Were you billed for this procedure?
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About CPT 80503
CPT code 80503 refers to “Path clin consltj sf 5-20”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $18 in a facility (hospital or ambulatory surgery center) and $26in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.