FMR1 gene analysis for fragile X syndrome at Advocate Trinity 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

FRAGILE X GENE ANALYSIS SCREEN

Chicago, IL

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Pricing by billing methodology

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How this price compares nationally

Advocate Trinity Hospital’s median price of $295 is 283% above the median hospital's median price ($77), higher than 89% of the 2,170 hospitals reporting CPT 81243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81243 at Advocate Trinity Hospital

Negotiated rates from the hospital’s own file: 8 payers, 13 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 commercial fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
2	UnitedHealthcare hmo fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
3	Ambetter medicare advantage case rate · outpatient	$83	$83	—	—	—	$83 – $83
4	Molina medicare advantage case rate · outpatient	$83	$83	—	—	—	$83 – $83
5	Oscar medicare advantage case rate · outpatient	$86	$86	—	—	—	$86 – $86
6	Cigna commercial fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$383	$383	—	—	—	$383 – $383
8	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$495	$495	$20	4%	—	$476 – $515
9	Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges	$501	$501	—	—	—	$501 – $501
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$510	$510	—	—	—	$510 – $510
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$542	$542	—	—	—	$542 – $542
12	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$568	$568	—	—	—	$568 – $568
13	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$568	$568	—	—	—	$568 – $568

Last updated: Nov 4, 2025

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