BRCA1 and BRCA2 full gene sequence analysis at Northside Hospital, Inc.

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

ZBA0Y BRCA 1/2 MUTATION ANALY

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $562 is 15% above the median hospital's median price ($488), higher than 71% of the 1,474 hospitals reporting CPT 81163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81163 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 68 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	UnitedHealthcare uhc ga individual exchange percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
2	UnitedHealthcare uhc heritage select percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
3	UnitedHealthcare uhc hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
4	UnitedHealthcare uhc hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
5	UnitedHealthcare uhc hmo/pos/ppo-t percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
6	Cigna cigna healthsprings medicare advantage other · outpatient	$150	$150	—	—	—	$150 – $150
7	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
8	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
9	Aetna aetna hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
10	Aetna aetna hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
11	Aetna aetna hmo/pos/ppo-q percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
12	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
13	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
14	Caresource caresource other · outpatient	$431	$431	—	—	—	$431 – $431
15	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
16	Medicare medicare fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
17	UnitedHealthcare uhc medicare fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
18	Aetna aetna medicare fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
19	Humana humana medicare advantage hmo fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
20	Caresource caresource medicare advantage fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
21	Kaiser kaiser medicare advantage fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
22	WellCare wellcare medicare advantage fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
23	Humana humana medicare advantage ppo fee schedule · outpatient	$477	$477	—	—	—	$477 – $477
24	Clover clover health fee schedule · outpatient	$482	$482	—	—	—	$482 – $482
25	Cigna cigna other · outpatient	$545	$545	—	—	—	$545 – $545

Page 1 of 3 · 68 rates

Last updated: Feb 14, 2026

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