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CDM 31000019

HC MOPATH 1 PRENAT NGS ARUP W FX

Reported by 34 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

$122

Average

$173

Median

$180

High

$203

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$64$134$152$325$54
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$64$134$165$325$59
3Vanderbilt University Medical CenterNashville, TN$64$134$159$325$59
4Vanderbilt Bedford HospitalShelbyville, TN$64$134$164$325$58
5Baylor Scott & White Medical Center - TempleTemple, TX$36$179$179$443$54
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$36$167$134$443$79
7Baylor Scott & White Medical Center - TaylorTaylor, TX$36$140$122$443$56
8Baylor Scott & White Medical Center - HillcrestWaco, TX$36$172$167$443$50
9Baylor University Medical CenterDallas, TX$35$184$180$7.4k$55
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$35$184$173$363$63
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