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CPT 81208

HB Bcr/Abl Other Breakpoint, Qualitative, Pcr

Reported by 10 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

$0

Average

$146

Median

$151

High

$369

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Kishwaukee HospitalDeKalb, IL$81$58$58$440—
2Naples HMA LLCNaples, FL$63$109$265$1.1k$323
3Naples HMA LLCFL 34114, FL$63$109$265$1.1k$323
4Naples HMA LLCNaples, FL$63$109$265$1.1k$323
5Vanderbilt Wilson County HospitalLebanon, TN$137$0$0$604—
6Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$121$0$0$496—
7Vanderbilt University Medical CenterNashville, TN$175$0$0$604—
8Vanderbilt Bedford HospitalShelbyville, TN$100$0$0$496—
9West Virginia University Hospitals, Inc.Morgantown, WV$140$226$244$339$47
10Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$203$228$369$1.1k$307

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