BCR-ABL1 gene major breakpoint test at Mercy Health Saint Marys

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 Analysis Translocation Bcr/Abl1 Major Breakpoint Qualitative/Quantitative

Grand Rapids, MI

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How this price compares nationally

Mercy Health Saint Marys’s median price of $214 is 8% above the median hospital's median price ($198), higher than 53% of the 2,386 hospitals reporting CPT 81206. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81206 at Mercy Health Saint Marys

Negotiated rates from the hospital’s own file: 22 payers, 31 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 blue cross complete medicaid facility · fee schedule · both	$89.64	$89.64	$89.64 – $89.64
2	Molina molina medicaid facility · fee schedule · both	$91.39	$91.39	$91.39 – $91.39
3	Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges	$92.27	$92.27	$38.68 – $145.86
4	Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges	$136.38	$136.38	$57.16 – $215.59
5	Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges	$152.31	$152.31	$63.84 – $240.77
6	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$152.39	$152.39	$63.88 – $240.90
7	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$152.39	$152.39	$63.88 – $240.90
8	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$158.65	$158.65	$66.50 – $250.80
9	Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$158.86	$158.86	$66.59 – $251.13
10	Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$158.86	$158.86	$66.59 – $251.13
11	Aetna aetna medicare advantage facility · fee schedule · both	$160.68	$160.68	$160.68 – $160.68
12	Blue Cross Blue Shield bcbs medicare advantage facility · fee schedule · both	$160.68	$160.68	$160.68 – $160.68
13	Molina molina medicare advantage facility · fee schedule · both	$160.68	$160.68	$160.68 – $160.68
14	Oscar oscar epo facility · fee schedule · both	$163.96	$163.96	$163.96 – $163.96
15	First Health first health ppo facility · percent of total billed charges · bothfrom % of charges	$165.33	$165.33	$69.30 – $261.36
16	UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both	$168.88	$168.88	$168.88 – $168.88
17	Humana humana lifesynch facility · percent of total billed charges · bothfrom % of charges	$208.75	$208.75	$87.50 – $330.00
18	Magellan magellan facility · percent of total billed charges · bothfrom % of charges	$208.75	$208.75	$87.50 – $330.00
19	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$208.75	$208.75	$87.50 – $330.00
20	Molina molina hmo marketplace facility · fee schedule · both	$213.15	$213.15	$213.15 – $213.15
21	Anthem bcbs trad / trust facility · fee schedule · both	$214.29	$214.29	$214.29 – $214.29
22	Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both	$214.29	$214.29	$214.29 – $214.29
23	Carefirst bcbs trad / trust facility · fee schedule · both	$214.29	$214.29	$214.29 – $214.29
24	Excellus bcbs trad / trust facility · fee schedule · both	$214.29	$214.29	$214.29 – $214.29
25	Highmark bcbs trad / trust facility · fee schedule · both	$214.29	$214.29	$214.29 – $214.29

Page 1 of 2 · 31 rates

Last updated: Mar 31, 2026

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