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CPT 81313

HC PCA3/KLK3 ANTIGEN

Reported by 579 hospitals in the network.

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.

National pricing summary

Low

$128

Average

$392

Median

$319

High

$1.9k

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$255$272$128—$4$587
2Northwest Iowa Hospital CorporationSioux City, IA$255$254$88—$80$502
3St Luke'sJones Regional Medical CenterAnamosa, IA$242$225$88—$122$502
4Medical Ctiy ArgyleArgyle, TX$268$501$581—$153$2.3k
5Medical City AllianceSAGINAW, TX$268$506$593—$153$2.3k
6St Luke's Methodist HospitalCedar Rapids, IA$260$269$105—$102$502
7Trinity Medical CenterRock Island, IL$260$278$150—$4$583
8Trinity Medical CenterBettendorf, IA$260$271$100—$107$502
9Unity HealthcareMuscatine, IA$255$257$145—$4$583
10Trinity Regional Medical CenterFort Dodge, IA$260$281$100—$142$502
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