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CDM 3028636201

HC MOG-IGG1 AB CELL-BASED IMFLUOR ASSAY EA

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

$188

Average

$247

Median

$234

High

$382

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$4$254$230$318$66
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$5$254$234$318$64
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$4$254$234$353$66
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$6$256$243$270$45
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$5$254$232$318$65
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$154$229$226$267$36
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$70$218$215$380$92
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$6$255$239$288$56
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$101$243$214$281$50
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$6$251$232$318$62
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