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CDM 30102297

HC REF MAYO, TLTE4 LEUKOTRIENE E4 URINE

Reported by 30 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$177

Average

$248

Median

$225

High

$467

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$12$258$255$663$218
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$162$286$663$203
3Baylor Scott & White Medical Center - TaylorTaylor, TX$12$265$306$590$184
4Baylor Scott & White Medical Center - HillcrestWaco, TX$20$243$244$553$199
5Baylor University Medical CenterDallas, TX$10$58$432$7.4k$1.3k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$40$177$553$202
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$126$242$663$226
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$152$246$553$207
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$10$48$193$553$203
10Baylor Scott & White Medical Center - PlanoPlano, TX$10$58$207$553$209
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