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CPT 81163

ZBA0Y BRCA 1/2 MUTATION ANALY

Reported by 14 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$379

Average

$512

Median

$527

High

$805

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$103$488$386$865$185
2Northside Hospital, Inc.Canton, GA$97$488$380$865$193
3Northside Hospital, Inc.Atlanta, GA$103$488$389$865$181
4Northside Hospital, Inc.Duluth, GA$103$488$387$865$184
5Northside Hospital, Inc.Cumming, GA$103$488$379$865$193
6West Virginia University Hospitals, Inc.Morgantown, WV$304$494$532$739$103
7Camden-Clark Memorial Hospital CorporationParkersburg, WV$442$491$546$739$97
8Wheeling Hospital, Inc.Wheeling, WV$304$491$613$2.0k$395
9Reynolds Memorial Hospital, Inc.Glen Dale, WV$304$491$522$739$95
10Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$442$496$805$2.4k$670
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