Multi-drug class urine screening 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

Fee Schedule

Blue Cross Blue Shield pricing summary

Low

$16

Average

$87

Median

$81

High

$167

Blue Cross Blue Shield rate distribution

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28 hospital rates

#		Plans
1	Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges	1	$16	$16	—	—	—	$16 – $16
2	Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges	1	$16	$16	—	—	—	$16 – $16
3	Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges	1	$16	$16	—	—	—	$16 – $16
4	Bronson South Haven Hospital South Haven, MI professional · percent of total billed charges · bothfrom % of charges	1	$16	$16	—	—	—	$16 – $16
5	COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient	6	$20	$26	$12	46%	—	$20 – $50
6	GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient	3	$61	$63	$6	10%	—	$57 – $72
7	Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient	2	$101	$101	$2	2%	—	$100 – $103
8	Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient	2	$167	$167	$15	9%	—	$152 – $182
9	Monroe Hospital Bloomington, IN fee schedule · outpatient	3	$20	$25	$7	30%	—	$20 – $35
10	NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient	3	$108	$109	$16	15%	—	$90 – $129
11	NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient	1	$51	$51	—	—	—	$51 – $51
12	Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
13	Providence Health System - Southern California Burbank, CA fee schedule · outpatient	1	$74	$74	—	—	—	$74 – $74
14	Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient	1	$59	$59	—	—	—	$59 – $59
15	Providence Health System - Southern California Torrance, CA fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
16	Providence Health System - Southern California San Pedro, CA fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
17	RESEARCH PSYCHIATRIC CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges	7	$154	$144	$17	12%	—	$125 – $162
18	Rady Children's Hospital - San Diego Murrieta, CA facility · fee schedule · outpatient	2	$93	$93	$4	4%	—	$89 – $96
19	St Joseph Hospital of Orange Orange, CA fee schedule · outpatient	2	$154	$154	$14	9%	—	$140 – $168
20	St Joseph Health Northern California LLC Fortuna, CA fee schedule · outpatient	2	$142	$142	$13	9%	—	$129 – $155
21	St Joseph Health Northern California LLC Santa Rosa, CA fee schedule · outpatient	3	$116	$117	$17	15%	—	$97 – $139
22	St Joseph Health Northern California LLC Eureka, CA fee schedule · outpatient	2	$142	$142	$13	9%	—	$129 – $155
23	St Joseph Health Northern California LLC Napa, CA fee schedule · outpatient	3	$136	$138	$20	15%	—	$114 – $164
24	St Jude Hospital Inc Fullerton, CA fee schedule · outpatient	2	$157	$157	$14	9%	—	$143 – $172
25	St Mary Medical Center Apple Valley, CA fee schedule · outpatient	2	$147	$147	$13	9%	—	$133 – $160

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HCPCS G0434