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CDM 3028666541

HC ANTIBODY; EPSTEIN-BARR, VIRAL CAPSID, EACH (A/G/M)

Reported by 32 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$43

Average

$89

Median

$95

High

$116

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$2$104$94$130$27
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$2$104$96$130$26
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$1$104$96$144$27
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$2$105$100$110$18
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$2$104$95$130$26
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$35$52$52$61$8
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$16$49$48$86$21
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$3$104$98$118$23
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$20$49$43$56$10
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$3$103$95$130$25
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