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Kawasaki Disease Risk Blood Score

Pennsylvania rates for HCPCS 0310U

Helps assess Kawasaki disease, an illness of childhood in which blood vessels become inflamed and the heart arteries can be damaged. Three markers in a blood plasma sample (NT-proBNP, C-reactive protein and T-uptake) are measured and combined into a single risk score. It is aimed at this childhood vessel inflammation rather than at adult heart risk.

Rates data updated October 2026.

How much does Kawasaki Disease Risk Blood Score cost?

$331

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $468 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$275 to $347
FacilityA hospital or hospital-owned outpatient department$468$389 to $646

How much rates vary

Facilitymedian $468 · 10th to 90th $331 to $955Professionalmedian $316 · 10th to 90th $178 to $427
$200$500$1Kfacility $468professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$549.54
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$316.23
Typical High
$331.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$151.36
Median
$158.49
Typical High
$165.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$61.66
Median
$63.10
Typical High
$66.07
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$537.03
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$562.34
Geisinger
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Geisinger
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$331.13
Typical High
$707.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$758.58
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$331.13
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$158.49
Typical High
$165.96
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$63.10
Typical High
$66.07
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$954.99
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$389.05
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$251.19
Typical High
$588.84

Where Pennsylvania sits

The same service costs 134.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 25th of 51

$331

AK $871KY $6.46

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.