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CPT 0497U

ONC PRST8 MRNA RT-PCR 6GENES

Reported by 33 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

$3.9k

Average

$4.8k

Median

$4.1k

High

$6.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$3.9k$4.1k$4.1k$8.8k$178
2Northwest Iowa Hospital CorporationSioux City, IA$3.9k$4.0k$4.0k$8.8k$58
3St Luke's Methodist HospitalCedar Rapids, IA$3.9k$4.0k$4.0k$8.8k$58
4Trinity Medical CenterRock Island, IL$3.6k$4.0k$4.2k$8.8k$654
5Trinity Medical CenterBettendorf, IA$3.9k$4.1k$4.3k$8.8k$768
6Unity HealthcareMuscatine, IA$3.9k$4.0k$4.3k$8.8k$733
7Trinity Regional Medical CenterFort Dodge, IA$3.9k$4.0k$4.0k$8.8k$58
8Meriter Hospital, IncMadison, WI$3.9k$3.9k$3.9k$3.9k—
9Central Iowa Hospital CorporationDes Moines, IA$3.9k$4.0k$4.0k$8.8k$58
10Central Iowa Hospital CorporationDes Moines, IA$3.9k$4.0k$4.0k$8.8k$58
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