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CDM 30201627

HC REF ARUP 0050294 HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA

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

$20

Average

$36

Median

$28

High

$275

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$12$22$29$122$24
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$4$20$25$122$28
3Baylor Scott & White Medical Center - TaylorTaylor, TX$6$20$26$122$27
4Baylor Scott & White Medical Center - HillcrestWaco, TX$11$20$29$122$25
5Baylor University Medical CenterDallas, TX$10$20$275$7.4k$1.3k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$20$27$100$19
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$22$30$122$25
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$12$22$30$122$26
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$10$20$31$149$31
10Baylor Scott & White Medical Center - PlanoPlano, TX$10$20$28$100$20
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