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CPT 76942

PR SONO GUIDE NEEDLE BIOPSY

Reported by 729 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

Based on 230–545 billing samples across every hospital reporting.

Low

$1

Average

$301

Median

$127

High

$4.9k

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.
1Dignity HealthMerced, CA$459$499$466123–150$73$1.6k
2Dignity HealthSan Bernardino, CA$144$407$43775$9$1.4k
3Dignity HealthCarmichael, CA$761$788$57510–100$32$1.9k
4Dignity HealthSacramento, CA$596$702$5256–60$32$1.9k
5Dignity HealthLong Beach, CA$248$345$2725–50$65$831
6Dignity Community CareSacramento, CA$928$844$5854–40$32$1.9k
7Dignity Community CareRedwood City, CA$336$699$6943–30$71$2.0k
8Alegent Health Immanuel Medical CenterOmaha, NE$142$349$2892–20$53$907
9Dignity HealthGilbert, AZ$243$397$3921–10$61$1.2k
10Dignity HealthSanta Maria, CA$1.0k$875$5061–10$73$1.5k
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