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CPT 81300

HC MSH6 GENE DUP/DELETE VARIANT

Reported by 47 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$0

Average

$726

Median

$316

High

$18.3k

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$250$316$122—$105$544
2Northwest Iowa Hospital CorporationSioux City, IA$246$246$4—$74$468
3St Luke's Methodist HospitalCedar Rapids, IA$246$246$4—$95$468
4Trinity Medical CenterRock Island, IL$250$318$124—$113$544
5Trinity Medical CenterBettendorf, IA$250$266$47—$100$468
6Unity HealthcareMuscatine, IA$250$319$120—$105$544
7Trinity Regional Medical CenterFort Dodge, IA$246$246$4—$132$468
8Meriter Hospital, IncMadison, WI$238$238——$238$238
9Central Iowa Hospital CorporationDes Moines, IA$246$246$4—$95$468
10Central Iowa Hospital CorporationDes Moines, IA$246$246$4—$75$476
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