MECP2 gene duplication or deletion analysis at Kettering Medical Center

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

Mecp2 gene dup/delet variant

Kettering, OH

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Pricing by billing methodology

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How this price compares nationally

Kettering Medical Center ’s median price of $175 is 11% above the median hospital's median price ($158), higher than 67% of the 1,462 hospitals reporting CPT 81304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81304 at Kettering Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 14 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	Blue Cross Blue Shield anthem traditional fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
2	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$143	$143	$83	58%	—	$60 – $225
3	Molina medicare managed care plan fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
4	UnitedHealthcare all commercial plans fee schedule · outpatient	$165	$165	$15	9%	—	$150 – $180
5	UnitedHealthcare employee fee schedule · outpatient	$165	$165	$15	9%	—	$150 – $180
6	Aetna all commercial plans fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
7	Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
8	Cigna all commercial plans fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
9	Caresource marketplace exchange fee schedule · outpatient	$193	$193	$39	20%	—	$155 – $232
10	UnitedHealthcare exchange fee schedule · outpatient	$233	$233	—	—	—	$233 – $233
11	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$244	$244	$184	75%	—	$60 – $428
12	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
13	Molina exchange fee schedule · outpatient	$311	$311	—	—	—	$311 – $311
14	Medical Mutual supermed ppo fee schedule · outpatient	$341	$341	—	—	—	$341 – $341

Last updated: Apr 1, 2026

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