Molecular pathology test, tier level 4 at Essentia Health Duluth

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

MOLECULAR PATH PROC, LEVEL 4 - REF

Duluth, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $248 is 11% above the median hospital's median price ($223), higher than 55% of the 2,290 hospitals reporting CPT 81403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81403 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
2	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
3	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
4	Blue Cross Blue Shield medicare facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
5	Healthpartners medicare facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
6	Medica medicare facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
7	Ucare medicare facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
8	UnitedHealthcare medicare facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
9	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
10	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
11	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
12	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$192	$192	—	—	—	$192 – $192
13	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$192	$192	—	—	—	$192 – $192
14	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
15	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
16	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
17	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$248	$248	—	—	—	$248 – $248
18	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
19	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$13	5%	—	$248 – $274
20	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
21	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
22	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
23	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
25	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

Compare to other hospitals

See Molecular pathology test, tier level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.