FMR1 gene analysis for fragile X syndrome at Enumclaw Regional Hospital Association

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 XSENSE FRAGILE X RFLX

Enumclaw, WA

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Pricing by billing methodology

Price type

How this price compares nationally

Enumclaw Regional Hospital Association’s median price of $119 is 55% above the median hospital's median price ($77), higher than 67% 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 Enumclaw Regional Hospital Association

Negotiated rates from the hospital’s own file: 10 payers, 29 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	Aetna medicare\|all plans fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
2	Kaiser medicare\|all plans fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
3	Regence medicare\|all plans fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
4	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
5	Optum medicare\|all plans fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
6	Premera medicare\|all plans fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
7	Regence commercial\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
8	Humana medicare\|all plans fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
9	Molina medicare\|all plans fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
10	Cigna commercial\|all plans fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
11	Premera commercial\|all plans fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
12	Molina commercial\|marketplace exchange fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
13	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
14	Molina medicaid\|all plans fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
15	Kaiser commercial\|hmo fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
16	Kaiser commercial\|ppo fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
17	UnitedHealthcare medicaid\|all plans fee schedule · inpatient	$196	$196	—	—	—	$196 – $196
18	Molina medicaid\|all plans fee schedule · inpatient	$197	$197	—	—	—	$197 – $197
19	Aetna commercial\|awh fee schedule · inpatient	$264	$264	—	—	—	$264 – $264
20	Aetna commercial\|awh fee schedule · outpatient	$264	$264	—	—	—	$264 – $264
21	Aetna commercial\|all other plans fee schedule · outpatient	$311	$311	—	—	—	$311 – $311
22	Aetna commercial\|all other plans fee schedule · inpatient	$317	$317	—	—	—	$317 – $317
23	UnitedHealthcare commercial\|cascade care fee schedule · outpatient	$323	$323	—	—	—	$323 – $323
24	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$323	$323	—	—	—	$323 – $323
25	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$343	$343	—	—	—	$343 – $343

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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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.