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CPT 0536U

Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation

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

$144

Average

$254

Median

$205

High

$746

Hospitals reporting this code

#HospitalLocation
1Medical Ctiy ArgyleArgyle, TX$191$202$261$1.2k$186
2Medical City AllianceSAGINAW, TX$191$202$257$1.2k$192
3Medical City MckinneyMcKinney, TX$191$202$259$1.2k$184
4Medical City Las ColinasIrving, TX$191$202$252$927$151
5Med City Heart HospitalDallas, TX$191$192$266$855$164
6Medical City DentonArgyle, TX$191$202$261$1.2k$186
7Med City Spine HospitalDALLAS, TX$191$192$266$855$164
8Medical City Surgery City AllianceFT WORTH, TX$191$202$257$1.2k$192
9Medical City DallasDallas, TX$191$202$250$855$141
10Medical City ArlingtonRED OAK, TX$191$202$250$855$141
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