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  5. /Percent of billed charges
CPT 528U

Lower respiratory tract infectious agent detection, 18 bacteria, 8 viruses, and 7 antimicrobial-resistance genes, amplified probe technique, including reverse transcription for RNA targets, each analyte reported as detected or not detected with semiquanti

Reported by 12 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$149

Average

$183

Median

$188

High

$201

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.
1Community Medical CenterToms River, NJ$201$193$69—$40$295
2Newark Beth Israel Medical CenterNewark, NJ$189$192$58—$73$301
3Clara Maass Medical CenterBelleville, NJ$181$183$68—$41$307
4Monmouth Medical CenterLong Branch, NJ$193$194$59—$80$311
5Monmouth Medical Center Southern CampusLakewood, NJ$199$201$71—$60$313
6Cooperman Barnabas Medical CenterLivingston, NJ$189$184$65—$51$274
7Jersey City Medical CenterJersey City, NJ$178$179$50—$89$292
8Robert Wood Johnson University Hospital RahwayRahway, NJ$161$149$50—$36$216
9Robert Wood Johnson University Hospital New BrunswickNew Brunswick, NJ$161$161$65—$44$268
10Robert Wood Johnson University Hospital SomersetSomerville, NJ$215$193$79—$47$295
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