FMR1 gene analysis for fragile X syndrome at Mercy Hospital Springfield

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

Fragile X Fmr1 Gene Analysis Charac of Alleles

Ozark, MO

See all hospitals reporting CPT 81243 →

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $110 is 42% above the median hospital's median price ($77), higher than 65% 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 Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 16 payers, 38 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	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
2	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
3	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
4	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
5	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
6	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
7	Medicaid hb sprg mo medicaid facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
8	Medica hb sprg lebn medica exchange facility · fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
9	Aetna hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
10	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
11	Cigna hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
12	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
13	Humana hb sprg humana medicare 100% facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
14	Medica hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
15	Medicare hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
16	Tricare hb sprg tricare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
17	UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
18	UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
19	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
20	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
21	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
22	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
23	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
24	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
25	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$65	$65	—	—	—	$65 – $65

Page 1 of 2 · 38 rates

Last updated: Jun 4, 2026

Compare to other hospitals

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.