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CPT 0498U

Oncology (colorectal), next-generation seequencing for mutation detection in 43 genes and methylation pattern in 45 genes, blood and formalin-fixed paraffin-embedded (FFPE) tissue, report of variants

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

$1.0k

Average

$1.7k

Median

$1.5k

High

$5.2k

Hospitals reporting this code

#HospitalLocation
1Medical Ctiy ArgyleArgyle, TX$1.2k$1.4k$1.5k$3.5k$415
2Medical City AllianceSAGINAW, TX$1.2k$1.4k$1.5k$3.5k$385
3Medical City MckinneyMcKinney, TX$1.2k$1.4k$1.5k$3.5k$410
4Medical City Las ColinasIrving, TX$1.2k$1.4k$1.5k$3.5k$412
5Med City Heart HospitalDallas, TX$1.2k$1.3k$1.5k$3.5k$485
6Medical City DentonArgyle, TX$1.2k$1.4k$1.5k$3.5k$415
7Med City Spine HospitalDALLAS, TX$1.2k$1.3k$1.5k$3.5k$485
8Medical City Surgery City AllianceFT WORTH, TX$1.2k$1.4k$1.5k$3.5k$385
9Medical City DallasDallas, TX$1.2k$1.4k$1.5k$3.5k$414
10Medical City ArlingtonRED OAK, TX$1.2k$1.4k$1.5k$3.5k$414
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