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CDM 30201110

*NITROBLUE TETRAZLIUM DYE TEST

Reported by 32 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

$51

Average

$85

Median

$69

High

$301

Hospitals reporting this code

#HospitalLocation
1Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$5$21$125$431$140
2Baylor Scott & White Medical Center - TempleTemple, TX$12$91$96$234$73
3Martin Memorial Medical Center IncStuart, FL$6$14$82$431$115
4Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$89$105$234$69
5Baylor Scott & White Medical Center - TaylorTaylor, TX$12$92$85$153$43
6Baylor Scott & White Medical Center - HillcrestWaco, TX$12$89$92$195$66
7Baylor University Medical CenterDallas, TX$10$35$301$7.4k$1.3k
8Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$24$51$129$43
9Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$76$72$172$53
10Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$92$93$195$69
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