12803
CPTSurgeryPilocarpine 5 mg tablet
As billed by one hospital: “Pilocarpine HCl Tab 5 MG”
Based on the latest published hospital price files, code 12803 (Pilocarpine 5 mg tablet) appears at 10 hospitals across 5 cities in 3 states with disclosed cash prices from $1.07 to $289. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a surgical or procedural code. The published price typically covers the facility/procedure charge for performing it — the operating-room, equipment, and staff resources.
What affects the price
A surgical price almost never includes the separate bills you may receive from the surgeon, anesthesiologist, or pathologist. Ask the hospital for a bundled good-faith estimate that lists every expected charge, not just this one.
Category: Surgery
What the published prices show
Across the 11 hospitals that disclose a cash price for code 12803, the median is $1.07, and half of the disclosed prices fall between $1.07 and $4.19 — about a 4× difference for the same billing code. The full disclosed range runs from $1.07 to $289.
Published-price availability
Compare 12803 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 12803 vary by about 270× across the 10 hospitals with disclosed prices here — from $1.07 to $289. Shopping around can matter.
Lowest cash price by hospital
Cash price by city
Reflects your current filters.
- Edgewood · 6 hospitals$1.07
- Saint Charles · 1 hospital$2.93
- Wentzville · 1 hospital$2.93
- Bridgeton · 1 hospital$5.45
- Paw Paw · 1 hospital$289
11 prices shown.
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 12803 prices
Open a hospital to see this code in the context of its full published prices.
Code 12803: frequently asked
- What does code 12803 cost?
- Across the published hospital price files, the disclosed cash price for 12803 ranges from $1.07 to $289. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 12803?
- 12803 is the billing code hospitals use to identify "Pilocarpine 5 mg tablet" on their published price files. We use it to line up the same service across different hospitals.
- Why do 12803 prices differ between hospitals?
- 10 hospitals across 3 states publish a price for 12803 here, and even setting aside the outliers, most disclosed cash prices span roughly a 4× difference. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.