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  5. /Percent of billed charges
CPT 81303

PR MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT

Reported by 25 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

$78

Average

$225

Median

$155

High

$730

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$276$276——$72$276
2Northwest Iowa Hospital CorporationSioux City, IA$78$78——$72$168
3Virginia Mason Medical CenterSeattle, WA$250$247$23—$214$286
4NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist HospitalYork, NY$537$532$38—$84$580
5Mary Hitchcock Memorial HospitalLebanon, NH$296$296$104—$50$570
6Baylor Scott & White Medical Center - TempleTemple, TX$144$149$31—$36$757
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$132$108$64—$30$757
8Baylor Scott & White Medical Center - TaylorTaylor, TX$132$117$53—$36$757
9Baylor Scott & White Medical Center - HillcrestWaco, TX$139$138$27—$79$757
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$156$157$26—$36$757
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