Molecular pathology test, tier level 4 at Progress West Hospital

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 Molec Path Proc Level 4

O'Fallon, MO

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $438 is 96% above the median hospital's median price ($224), higher than 82% of the 2,271 hospitals reporting CPT 81403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81403 at Progress West Hospital

Negotiated rates from the hospital’s own file: 11 payers, 23 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	UnitedHealthcare bjc hb medicare uhc pwc fee schedule · both	$189	$189	—	—	—	$189 – $189
2	UnitedHealthcare bjc hb united health care community fee schedule · both	$222	$222	—	—	—	$222 – $222
3	Cigna bjc hb cigna local plus community fee schedule · both	$255	$255	—	—	—	$255 – $255
4	Aetna bjc hb aetna commercial community fee schedule · both	$320	$320	—	—	—	$320 – $320
5	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$360	$360	—	—	—	$360 – $360
6	Cigna bjc hb cigna special community fee schedule · both	$393	$393	—	—	—	$393 – $393
7	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$396	$396	—	—	—	$396 – $396
8	Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both	$438	$438	—	—	—	$438 – $438
9	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$442	$442	—	—	—	$442 – $442
10	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$481	$481	—	—	—	$481 – $481
11	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$481	$481	—	—	—	$481 – $481
12	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$481	$481	—	—	—	$481 – $481
13	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$481	$481	—	—	—	$481 – $481
14	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
15	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
16	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
17	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
18	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$518	$518	—	—	—	$518 – $518
19	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$518	$518	—	—	—	$518 – $518
20	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$550	$550	—	—	—	$550 – $550
21	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$550	$550	—	—	—	$550 – $550
22	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$563	$563	—	—	—	$563 – $563
23	Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges	$647	$647	—	—	—	$647 – $647

Last updated: Dec 15, 2025

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