Carbon-14 urea breath test analysis for H. pylori

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

H. Pylori C14 Breath Test

Payers reporting CPT 78268

Payer pricing summary

Low

$49

Average

$222

Median

$165

High

$1.2k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +18 other terms	152	$99	$159	$205	129%	1–10	$38 – $1.8k
2	Aetna fee schedule · outpatient · +25 other terms	632	$111	$297	$472	159%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +26 other terms	617	$120	$172	$280	163%	—	$1 – $3.1k
4	Humana fee schedule · outpatient · +24 other terms	440	$96	$179	$272	152%	—	$1 – $1.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	408	$127	$197	$167	85%	—	$0 – $2.6k
6	Cigna fee schedule · outpatient · +21 other terms	361	$202	$225	$154	68%	—	$5 – $1.1k
7	WellCare fee schedule · outpatient · +15 other terms	261	$97	$100	$16	16%	—	$19 – $188
8	Molina fee schedule · outpatient · +21 other terms	244	$105	$114	$59	52%	—	$1 – $1.0k
9	Devoted fee schedule · outpatient · +8 other terms	195	$94	$96	$3	3%	—	$93 – $109
10	Oscar fee schedule · outpatient · +14 other terms	160	$183	$203	$68	33%	—	$93 – $289
11	Cigna Healthspring fee schedule · outpatient · +3 other terms	124	$98	$95	$4	4%	—	$83 – $102
12	Kaiser fee schedule · outpatient · +17 other terms	93	$104	$242	$413	170%	—	$5 – $2.2k
13	Ambetter fee schedule · outpatient · +10 other terms	85	$153	$138	$47	34%	—	$15 – $275
14	Aetna Better Health fee schedule · outpatient · +11 other terms	76	$86	$83	$14	17%	—	$20 – $100
15	Caresource fee schedule · outpatient · +10 other terms	62	$92	$96	$37	39%	—	$1 – $321
16	Optum fee schedule · outpatient · +8 other terms	50	$95	$126	$54	43%	—	$93 – $271
17	Superior Healthplan fee schedule · outpatient · +4 other terms	50	$99	$133	$46	35%	—	$79 – $203
18	Clover fee schedule · outpatient · +5 other terms	41	$96	$97	$2	2%	—	$94 – $99
19	First Health fee schedule · outpatient · +13 other terms	40	$94	$122	$97	80%	—	$79 – $602
20	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$287	$295	$127	43%	—	$94 – $541
21	MultiPlan fee schedule · outpatient · +15 other terms	30	$298	$288	$234	81%	—	$94 – $1.3k
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$132	$137	$33	24%	—	$90 – $201
23	Amerihealth Caritas fee schedule · outpatient · +8 other terms	26	$113	$108	$32	29%	—	$40 – $142
24	Regence facility · fee schedule · outpatient · +8 other terms	26	$100	$116	$51	44%	—	$80 – $283
25	Tricare fee schedule · outpatient · +8 other terms	24	$101	$99	$4	4%	—	$90 – $103

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