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CPT 81242

HC Analysis Gene Fancc Common Variant

Reported by 13 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

$194

Median

$61

High

$461

Hospitals reporting this code

#HospitalLocation
1St Peters HospitalAlbany, NY$36$119$115$1.2k$9
2Vanderbilt Wilson County HospitalLebanon, TN$37$0$0$333—
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$37$0$0$333—
4Vanderbilt University Medical CenterNashville, TN$37$0$0$333—
5Vanderbilt Bedford HospitalShelbyville, TN$37$0$0$333—
6Northside Hospital, Inc.Lawrenceville, GA$29$271$456$1.5k$382
7Northside Hospital, Inc.Canton, GA$29$226$446$1.5k$388
8Northside Hospital, Inc.Atlanta, GA$29$274$461$1.5k$380
9Northside Hospital, Inc.Duluth, GA$29$262$458$1.5k$382
10Northside Hospital, Inc.Cumming, GA$29$217$445$1.5k$389
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