Definitive drug test, 1 to 3 substances

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRUG/SUBSTANCE NOS 1-3

Payers reporting CPT 80375

Payer pricing summary

Low

$21

Average

$553

Median

$156

High

$6.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	256	$19	$34	$59	171%	9–90	$1 – $625
2	Aetna fee schedule · outpatient · +22 other terms	228	$0	$68	$549	803%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +19 other terms	143	$57	$88	$72	82%	—	$0 – $625
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	142	$35	$143	$124	87%	—	$1 – $1.6k
5	Cigna fee schedule · outpatient · +22 other terms	105	$53	$89	$80	90%	—	$1 – $550
6	Molina fee schedule · outpatient · +22 other terms	88	$20	$35	$51	148%	—	$4 – $639
7	Anthem fee schedule · outpatient · +23 other terms	86	$23	$47	$81	171%	—	$0 – $631
8	Aetna Better Health fee schedule · outpatient · +12 other terms	69	$20	$19	$5	28%	—	$0 – $49
9	Kaiser fee schedule · both · +12 other terms	47	$50	$52	$38	73%	—	$18 – $149
10	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	40	$73	$98	$83	84%	—	$11 – $290
11	MultiPlan fee schedule · outpatient · +16 other terms	33	$293	$190	$193	102%	—	$35 – $725
12	Medica fee schedule · outpatient · +14 other terms	32	$97	$71	$71	100%	—	$29 – $459
13	Premera facility · fee schedule · both · +7 other terms	28	$135	$140	$54	38%	—	$76 – $525
14	Regence facility · fee schedule · both · +11 other terms	28	$135	$140	$53	38%	—	$84 – $525
15	Carefirst facility · fee schedule · both · +9 other terms	27	$139	$142	$57	40%	—	$84 – $525
16	Excellus facility · fee schedule · both · +8 other terms	27	$131	$131	$60	46%	—	$15 – $525
17	Highmark facility · fee schedule · both · +15 other terms	27	$140	$142	$57	40%	—	$84 – $525
18	WellCare fee schedule · outpatient · +13 other terms	27	$30	$56	$64	115%	—	$10 – $223
19	Wellmark facility · fee schedule · both · +11 other terms	27	$139	$140	$50	36%	—	$84 – $525
20	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$294	$203	$150	74%	—	$23 – $758
21	Superior Healthplan facility · fee schedule · outpatient · +7 other terms	26	$18	$19	$3	16%	—	$18 – $37
22	Bcbs La fee schedule · outpatient · +2 other terms	23	$21	$21	$9	43%	—	$14 – $69
23	Medicaid facility · fee schedule · outpatient · +11 other terms	22	$21	$22	$7	30%	—	$18 – $49
24	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	21	$21	$29	$25	87%	—	$18 – $124
25	Cigna Healthspring fee schedule · outpatient · +5 other terms	21	$19	$22	$6	28%	—	$18 – $37

Page 1 of 3 · 67 payers