BRCA1 and BRCA2 full gene sequence analysis 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

BRCA1&2 GENE FULL SEQ ALYS

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 $477 is 2% below the median hospital's median price ($488), higher than 38% of the 1,478 hospitals reporting CPT 81163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81163 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 15 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 hmo fee schedule · both	$281	$281	—	—	—	$281 – $281
2	UnitedHealthcare ppo fee schedule · both	$281	$281	—	—	—	$281 – $281
3	UnitedHealthcare hmo fee schedule · outpatient	$468	$468	—	—	—	$468 – $468
4	UnitedHealthcare ppo fee schedule · outpatient	$468	$468	—	—	—	$468 – $468
5	Wellmark commercial fee schedule · both	$468	$468	—	—	—	$468 – $468
6	Wellmark hmo fee schedule · both	$468	$468	—	—	—	$468 – $468
7	Wellmark ppo fee schedule · both	$468	$468	—	—	—	$468 – $468
8	Aetna medicare advantage case rate · outpatient	$477	$477	—	—	—	$477 – $477
9	Molina medicare advantage case rate · outpatient	$477	$477	—	—	—	$477 – $477
10	Wellmark medicare advantage case rate · outpatient	$477	$477	—	—	—	$477 – $477
11	Humana medicare advantage case rate · outpatient	$491	$491	—	—	—	$491 – $491
12	UnitedHealthcare medicare advantage case rate · outpatient	$491	$491	—	—	—	$491 – $491
13	Cigna commercial fee schedule · both	$608	$608	—	—	—	$608 – $608
14	Aetna hmo fee schedule · outpatient	$866	$866	—	—	—	$866 – $866
15	Aetna ppo fee schedule · outpatient	$866	$866	—	—	—	$866 – $866

Last updated: Jan 28, 2026

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