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CPT 81313

CHG PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO

Reported by 444 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$148

Average

$405

Median

$329

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$254$105—$4$587
2Northwest Iowa Hospital CorporationSioux City, IA$255$298$93—$80$502
3St Luke'sJones Regional Medical CenterAnamosa, IA$255$288$102—$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$255$311$110—$102$502
7Trinity Medical CenterRock Island, IL$255$258$154—$4$583
8Trinity Medical CenterBettendorf, IA$255$304$100—$107$502
9Unity HealthcareMuscatine, IA$255$278$132—$4$583
10Trinity Regional Medical CenterFort Dodge, IA$255$314$114—$142$502
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