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.
Original text from hospital filings
Q16313 FRAGILE X PCR
LaFollette, TN
See all hospitals reporting CPT 81243 →Price type
Campbell County HMA, LLC’s median price of $58 is 25% below the median hospital's median price ($77), higher than 16% of the 2,177 hospitals reporting CPT 81243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 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 community plan facility · case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | UnitedHealthcare uhc hsa facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | UnitedHealthcare uhc options ppo facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 6 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Aetna aetna better health mcd ky facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Humana humana ky mcd facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Optum node united optum va ccn facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 11 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 12 | UnitedHealthcare uhc ky mcd facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 13 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 14 | WellCare wellcare ky mcd facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Aetna node aetna mcr adv facility · per diem · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 16 | UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Cigna cigna all facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 18 | Ambetter node ambetter health exchange facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Blue Cross Blue Shield bluecare bh facility · case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 20 | Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 21 | Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 22 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $658 | $658 | — | — | — | $658 – $658 |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $804 | $804 | — | — | — | $804 – $804 |
| 24 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $804 | $804 | — | — | — | $804 – $804 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Apr 1, 2026
See FMR1 gene analysis for fragile X syndrome pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.