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CPT 0461U

Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions

Reported by 198 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

$239

Average

$1.1k

Median

$977

High

$3.6k

Hospitals reporting this code

#HospitalLocation
1Medical Ctiy ArgyleArgyle, TX$789$963$1.0k$2.4k$281
2Medical City AllianceSAGINAW, TX$789$954$1.0k$2.4k$261
3Medical City MckinneyMcKinney, TX$699$963$1.0k$2.4k$280
4Medical City Las ColinasIrving, TX$537$954$1.0k$2.4k$284
5Med City Heart HospitalDallas, TX$685$917$1.0k$2.4k$332
6Medical City DentonArgyle, TX$789$963$1.0k$2.4k$281
7Med City Spine HospitalDALLAS, TX$685$917$1.0k$2.4k$332
8Medical City Surgery City AllianceFT WORTH, TX$789$954$1.0k$2.4k$261
9Medical City DallasDallas, TX$685$945$1.0k$2.4k$284
10Medical City ArlingtonRED OAK, TX$789$945$1.0k$2.4k$282
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