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CDM 3028669442

HC HERPE SIMPLEX VIRUS IGG & IGM

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

$41

Average

$233

Median

$246

High

$520

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$4$268$243$335$70
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$5$268$246$335$67
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$4$268$246$372$70
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$6$270$256$285$47
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$5$268$245$335$68
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$28$41$41$48$6
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$170$527$520$921$223
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$7$269$252$304$59
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$51$122$107$141$25
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$7$264$245$335$65
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