CPT 81243

Genetic Analysis

Current code45 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 81243 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$55.90 – $61.496 plans$62.80 – $248$157 – $621
Cascade Valley HospitalArlington$57.04 – $59.893 plans$456$571
Deaconess Medical CenterSpokaneFile dated 2026-08-27$55.90 – $61.498 plans$204$509
EvergreenHealth Medical CenterKirkland$57.04 – $59.045 plans$755$944
Harborview Medical CenterSeattleFile dated 2026-04-01$57.04 – $62.745 plans$622$889
Highline Medical CenterBurienFile dated 2026-02-28$57.04 – $65.6011 plans$201$660
Island HospitalAnacortes$61.09 – $64.7611 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$57.04 – $68.457 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$58.75 – $63.886 plans$40.33$62.04
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$55.90 – $61.497 plans$62.80 – $248$157 – $621
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$55.90 – $61.497 plans$62.80 – $248$157 – $621
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$55.90 – $61.497 plans$62.80 – $248$157 – $621
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$55.90 – $61.497 plans$62.80 – $248$157 – $621
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$57.58 – $61.497 plans$204$509
Olympic Medical CenterPort AngelesFile dated 2026-06-24$64.14 – $82.475 plans$186$232
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$57.04 – $59.323 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$228$351
PeaceHealth Southwest Medical CenteVancouver$57.04 – $65.6013 plans$264$406
PeaceHealth St Joseph Medical CenterBellingham$57.04 – $62.748 plans$248$381
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$57.04 – $62.746 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$57.04 – $91.267 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$57.04 – $62.745 plans——
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$213$304
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$58.75 – $62.745 plans$63.44$122
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$57.04 – $62.746 plans$1,198$1,712
Providence St Peter HospitalOlympiaFile dated 2026-04-01$57.04 – $91.267 plans——
Seattle Children's HospitalSeattle—$962$962
Skagit Valley HospitalMount Vernon$57.04 – $61.603 plans$456$571
St Anthony HospitalGig HarborFile dated 2026-02-28$57.04 – $65.6012 plans$201$660
St Clare HospitalLakewoodFile dated 2026-02-28$57.04 – $65.6012 plans$190$660
St Elizabeth HospitalEnumclawFile dated 2026-02-28$57.04 – $65.6012 plans$233$660
St Francis Community HospitalFederal WayFile dated 2026-02-28$57.04 – $65.6012 plans$207$660
St Joseph Medical CenterTacomaFile dated 2026-02-28$57.04 – $65.6012 plans$219$660
St Michael Medical CenterSilverdaleFile dated 2026-02-28$57.04 – $61.6010 plans$291$660
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$58.75 – $62.746 plans$58.56$122
Swedish IssaquahIssaquahFile dated 2026-04-01$58.75 – $62.746 plans$58.56$122
Swedish Medical CenterSeattleFile dated 2026-04-01$58.75 – $62.746 plans$58.56$122
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$58.75 – $62.746 plans$58.56$122
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$55.90 – $61.497 plans$62.80 – $248$157 – $621
Three Rivers HospitalBrewster—$281$281
University of Washington Medical CtrSeattleFile dated 2026-04-01$57.04 – $62.745 plans$595$850
Virginia Mason Medical CenterSeattle$39.93 – $59.899 plans$86.70$170
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,339$1,339
Yakima Valley MemorialYakimaFile dated 2026-08-27$55.90 – $62.618 plans$261$653

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Lab fee schedule (national limit)
$57.04