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CDM 30201269

HC EPSTEIN-BARR CAPSID VCA - SACCHAROMYCES CEREVISIAE AB IGG & IGA

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

$65

Average

$89

Median

$75

High

$315

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$12$104$87$199$59
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$110$93$199$57
3Baylor Scott & White Medical Center - TaylorTaylor, TX$12$108$89$157$44
4Baylor Scott & White Medical Center - HillcrestWaco, TX$15$98$84$166$53
5Baylor University Medical CenterDallas, TX$10$44$315$7.4k$1.3k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$30$65$166$55
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$95$77$177$54
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$109$85$166$55
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$10$36$72$166$57
10Baylor Scott & White Medical Center - PlanoPlano, TX$10$44$73$166$56
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