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CPT 81258

CHG HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT

Reported by 11 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$244

Average

$804

Median

$932

High

$967

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.
1The Finley HospitalDubuque, IA$864$864——$225$864
2Northwest Iowa Hospital CorporationSioux City, IA$244$244——$225$525
3Virginia Mason Medical CenterSeattle, WA$781$771$71—$669$892
4Mount Carmel New Albany Surgical HospitalNew Albany, OH$827$967$265—$41$1.8k
5Mount Carmel DublinDublin, OH$827$932$223—$41$1.8k
6Mount Carmel Grove CityGrove City, OH$827$967$265—$41$1.8k
7Diley Ridge Medical CenterCanal Winchester, OH$827$965$264—$41$1.8k
8Mount Carmel St Ann'sWesterville, OH$827$967$264—$41$1.8k
9Mount Carmel EastColumbus, OH$827$966$264—$41$1.8k
10Lucile Salter Packard Children's Hospital At StanfordPALO ALTO, CA$342$311$35—$342$342
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