Molecular pathology test, tier level 4 at St Helena 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

Molecular pathology procedure level 4 genetic analysis

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $185 is 17% below the median hospital's median price ($223), higher than 10% 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 St Helena Hospital

Negotiated rates from the hospital’s own file: 6 payers, 20 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 uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$96	$96	$14	15%	—	$82 – $111
2	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$98	$98	$15	15%	—	$83 – $113
3	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$101	$101	$15	15%	—	$86 – $116
4	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$102	$102	$15	15%	—	$87 – $118
5	UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges	$104	$104	$15	15%	—	$88 – $119
6	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$109	$109	$16	15%	—	$93 – $126
7	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$120	$120	$18	15%	—	$102 – $138
8	UnitedHealthcare umr uhc ppo percent of total billed charges · outpatientfrom % of charges	$139	$139	$21	15%	—	$118 – $159
9	UnitedHealthcare uhc options ppo percent of total billed charges · outpatientfrom % of charges	$139	$139	$21	15%	—	$118 – $159
10	Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges	$174	$174	$26	15%	—	$148 – $200
11	Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges	$178	$178	$27	15%	—	$152 – $205
12	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$185	$185	—	—	—	$185 – $185
13	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$185	$185	—	—	—	$185 – $185
14	Blue Cross Blue Shield tricare blue shield other · outpatient	$185	$185	—	—	—	$185 – $185
15	Kaiser kaiser mcr adv other · outpatient	$185	$185	—	—	—	$185 – $185
16	UnitedHealthcare uhc mcr adv other · outpatient	$185	$185	—	—	—	$185 – $185
17	Aetna aetna-all plans fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
18	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Last updated: Jul 15, 2026

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