Every billing code / CPT 81261 / St Clare Hospital
CPT 81261 at St Clare Hospital
Genetic Analysis
St Clare Hospital, Lakewood
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 St Clare Hospital publishes for this code: as an outpatient
St Clare Hospital’s prices for CPT 81261, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $208 – $1,46719 plans | — |
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| Medicare AdvantageInsurer rates | $198 – $22812 plans | — |
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| Cash pricePaying yourself, without insurance | $338 | — |
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| List priceBefore any discount; few people pay it | $1,172 | — |
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Lowest and highest amounts St Clare Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Clare Hospital publishes for this code: during a hospital stay
St Clare Hospital’s prices for CPT 81261, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $844 – $8792 plans | — |
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| Cash pricePaying yourself, without insurance | $338 | — |
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| List priceBefore any discount; few people pay it | $1,172 | — |
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Lowest and highest amounts St Clare Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 81261 at St Clare Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The lab test, including drawing the sample | — | The price above |
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A lab test usually comes as one bill from the lab that runs it.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 81261 at every Washington hospital, with Medicare’s reference amounts.