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
HC RT FRAGILE X WITH REFLEX
Lancaster, PA
See all hospitals reporting CPT 81243 →Price type
Lancaster General Health’s median price of $151 is 96% above the median hospital's median price ($77), higher than 74% of the 2,170 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: 12 payers, 33 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 independence blue cross commercial facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Medicaid medicaid facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 4 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 7 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 9 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 10 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 11 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Devoted devoted health medicare advantage facility · other · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 15 | Oscar oscar health plan facility · other · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 16 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 17 | Highmark highmark chip facility · other · outpatient | $115 | $115 | $48 | 42% | — | $67 – $164 |
| 18 | Highmark highmark aca facility · other · outpatient | $138 | $138 | $58 | 42% | — | $80 – $197 |
| 19 | Highmark highmark commercial preferred facility · other · outpatient | $159 | $159 | $67 | 42% | — | $92 – $226 |
| 20 | Highmark highmark commercial facility · other · outpatient | $198 | $198 | $83 | 42% | — | $114 – $281 |
| 21 | Highmark highmark commercial non-preferred facility · other · outpatient | $240 | $240 | $101 | 42% | — | $139 – $341 |
| 22 | Cigna cigna new business facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 23 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $381 | $381 | $160 | 42% | — | $220 – $541 |
| 24 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $422 | $422 | $178 | 42% | — | $244 – $600 |
| 25 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $429 | $429 | $181 | 42% | — | $248 – $609 |
Last updated: Mar 31, 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.