Molecular pathology test, tier level 4 at UPMC East

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

MOPATH LV 4 P1733

Monroeville, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC East’s median price of $966 is 333% above the median hospital's median price ($223), higher than 97% 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 UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 37 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 unison advantage non special needs facility · fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
2	UnitedHealthcare medicare facility · fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
3	Aetna medicare facility · fee schedule · outpatient	$199	$199	$5	2%	—	$194 – $204
4	Highmark medicare facility · fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
6	Cigna medicare facility · fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
7	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
8	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
9	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$836	$802	$226	28%	—	$336 – $1.1k
10	Highmark managed care - social mission facility · fee schedule · outpatient	$805	$805	—	—	—	$805 – $805
11	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$861	$826	$233	28%	—	$346 – $1.1k
12	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$889	$853	$240	28%	—	$357 – $1.1k
13	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$912	$874	$247	28%	—	$366 – $1.1k
14	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$962	$923	$260	28%	—	$387 – $1.2k
15	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$962	$923	$260	28%	—	$387 – $1.2k
16	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$967	$928	$262	28%	—	$389 – $1.2k
17	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$987	$947	$267	28%	—	$397 – $1.2k
18	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$987	$947	$267	28%	—	$397 – $1.2k
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$987	$947	$267	28%	—	$397 – $1.2k
20	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$987	$947	$267	28%	—	$397 – $1.2k
21	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$993	$952	$269	28%	—	$399 – $1.3k
22	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$1.0k	$972	$274	28%	—	$407 – $1.3k
23	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$1.0k	$972	$274	28%	—	$407 – $1.3k
24	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$1.0k	$972	$274	28%	—	$407 – $1.3k
25	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.0k	$972	$274	28%	—	$407 – $1.3k

Page 1 of 2 · 37 rates

Last updated: Mar 6, 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.