Dystrophin gene deletion and duplication testing at St Luke's Methodist Hospital

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 DMD DUP/DEL ANALYSIS

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $285 is 2% below the median hospital's median price ($290), higher than 39% of the 1,508 hospitals reporting CPT 81161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81161 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Medica commercial percent of total billed charges · outpatientfrom % of charges	$119	$119	$7	6%	—	$112 – $126
2	UnitedHealthcare hmo fee schedule · both	$167	$167	—	—	—	$167 – $167
3	UnitedHealthcare ppo fee schedule · both	$167	$167	—	—	—	$167 – $167
4	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
5	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
6	UnitedHealthcare hmo fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
7	UnitedHealthcare ppo fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
8	Wellmark commercial fee schedule · both	$279	$279	—	—	—	$279 – $279
9	Wellmark hmo fee schedule · both	$279	$279	—	—	—	$279 – $279
10	Wellmark ppo fee schedule · both	$279	$279	—	—	—	$279 – $279
11	Aetna medicare advantage case rate · outpatient	$285	$285	—	—	—	$285 – $285
12	Molina medicare advantage case rate · outpatient	$285	$285	—	—	—	$285 – $285
13	Wellmark medicare advantage case rate · outpatient	$285	$285	—	—	—	$285 – $285
14	Humana medicare advantage case rate · outpatient	$293	$293	—	—	—	$293 – $293
15	UnitedHealthcare medicare advantage case rate · outpatient	$293	$293	—	—	—	$293 – $293
16	Cigna commercial fee schedule · both	$363	$363	—	—	—	$363 – $363
17	Aetna hmo fee schedule · outpatient	$516	$516	—	—	—	$516 – $516
18	Aetna ppo fee schedule · outpatient	$516	$516	—	—	—	$516 – $516

Last updated: Jan 28, 2026

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