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CPT 81163

BRCA1&2 GENE FULL SEQ ALYS

Reported by 407 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

$197

Average

$718

Median

$606

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4$468$466$1.1k$193
2Northwest Iowa Hospital CorporationSioux City, IA$281$468$546$920$171
3St Luke'sJones Regional Medical CenterAnamosa, IA$281$468$529$920$187
4Medical Ctiy ArgyleArgyle, TX$281$491$609$2.5k$350
5Medical City AllianceSAGINAW, TX$281$473$603$2.5k$358
6St Luke's Methodist HospitalCedar Rapids, IA$281$468$571$920$201
7Trinity Medical CenterRock Island, IL$4$468$473$1.1k$284
8Trinity Medical CenterBettendorf, IA$281$468$558$920$184
9Unity HealthcareMuscatine, IA$4$468$510$1.1k$243
10Trinity Regional Medical CenterFort Dodge, IA$281$468$576$920$209
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