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CDM 31000087

HC MITO GENOME LARGE SEQUENCING & DELETION TESTING - GENEDX

Reported by 32 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$26

Average

$490

Median

$391

High

$1.7k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$887$1.4k$1.6k$4.0k$766
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$867$1.4k$1.4k$3.5k$443
3Vanderbilt University Medical CenterNashville, TN$936$1.4k$1.7k$4.0k$805
4Vanderbilt Bedford HospitalShelbyville, TN$760$1.4k$1.4k$3.5k$459
5Baylor Scott & White Medical Center - TempleTemple, TX$36$516$454$621$213
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$34$516$454$621$213
7Baylor Scott & White Medical Center - TaylorTaylor, TX$36$516$454$621$213
8Baylor Scott & White Medical Center - HillcrestWaco, TX$33$516$477$621$169
9Baylor University Medical CenterDallas, TX$35$290$267$512$196
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$35$290$267$512$196
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