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CPT 0138U

BRCA1 BRCA2 MRNA SEQ ALYS

Reported by 41 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$468

Average

$564

Median

$485

High

$740

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$492$493$21—$11$632
2Northwest Iowa Hospital CorporationSioux City, IA$485$485$7—$11$703
3St Luke's Methodist HospitalCedar Rapids, IA$485$485$7—$11$866
4Trinity Medical CenterRock Island, IL$478$503$79—$11$974
5Trinity Medical CenterBettendorf, IA$492$523$93—$11$782
6Unity HealthcareMuscatine, IA$485$516$89—$11$899
7Trinity Regional Medical CenterFort Dodge, IA$485$485$7—$11$899
8Meriter Hospital, IncMadison, WI$468$468——$468$468
9Central Iowa Hospital CorporationDes Moines, IA$485$485$7—$11$796
10Central Iowa Hospital CorporationDes Moines, IA$485$485$7—$11$937
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