Clostridium difficile toxin test

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

C DIFFICILE TOXIN

Payers reporting CPT 87230

Payer pricing summary

Low

$11

Average

$515

Median

$46

High

$11.2k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +22 other terms	207	$22	$39	$37	95%	1–10	$4 – $285
2	Aetna Better Health fee schedule · outpatient · +17 other terms	85	$18	$18	$2	11%	1–10	$7 – $21
3	UnitedHealthcare fee schedule · outpatient · +30 other terms	741	$20	$24	$22	94%	—	$1 – $369
4	Aetna fee schedule · outpatient · +27 other terms	707	$25	$79	$371	469%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +23 other terms	515	$20	$47	$61	129%	—	$1 – $481
6	Cigna fee schedule · outpatient · +24 other terms	493	$44	$54	$47	88%	—	$1 – $419
7	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	478	$31	$53	$52	99%	—	$1 – $446
8	WellCare fee schedule · outpatient · +18 other terms	302	$20	$22	$8	37%	—	$7 – $115
9	Molina fee schedule · outpatient · +25 other terms	295	$22	$23	$11	46%	—	$1 – $136
10	Devoted fee schedule · outpatient · +15 other terms	196	$20	$20	$1	3%	—	$19 – $23
11	Oscar fee schedule · outpatient · +14 other terms	168	$38	$42	$14	34%	—	$9 – $60
12	Cigna Healthspring fee schedule · outpatient · +6 other terms	142	$20	$20	$2	8%	—	$12 – $34
13	Ambetter fee schedule · outpatient · +18 other terms	108	$32	$29	$11	37%	—	$13 – $99
14	Kaiser fee schedule · outpatient · +16 other terms	104	$20	$26	$17	66%	—	$5 – $177
15	Caresource fee schedule · outpatient · +16 other terms	96	$22	$30	$26	85%	—	$1 – $138
16	MultiPlan fee schedule · outpatient · +18 other terms	67	$72	$107	$102	95%	—	$20 – $351
17	Superior Healthplan fee schedule · outpatient · +8 other terms	61	$21	$80	$94	117%	—	$17 – $336
18	Optum fee schedule · outpatient · +17 other terms	60	$20	$63	$83	131%	—	$19 – $340
19	First Health fee schedule · outpatient · +14 other terms	54	$27	$50	$71	140%	—	$16 – $268
20	Tricare fee schedule · outpatient · +14 other terms	49	$20	$23	$21	93%	—	$16 – $183
21	Clover fee schedule · outpatient · +7 other terms	48	$20	$20	$0	2%	—	$20 – $21
22	Medicare fee schedule · both · +11 other terms	40	$20	$20	—	—	—	$20 – $20
23	Amerihealth Caritas fee schedule · outpatient · +10 other terms	31	$24	$23	$6	27%	—	$3 – $30
24	Highmark facility · fee schedule · outpatient · +15 other terms	31	$40	$47	$34	71%	—	$13 – $147
25	Medicaid fee schedule · both · +10 other terms	31	$21	$21	$5	23%	—	$17 – $40

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