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CPT 81355

81355 VKORC1 GENE ANALY CV

Reported by 15 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$363

Median

$134

High

$899

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$78$141$133$590$26
2Dukes Health System LLCPeru, IN$74$120$118$375$21
3Warsaw Health System LLCWarsaw, IN$77$141$134$453$24
4St. Joseph Health System, LLCWayne, IN$78$150$218$655$196
5Vanderbilt Wilson County HospitalLebanon, TN$41$0$0$380—
6Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$29$0$0$362—
7Vanderbilt University Medical CenterNashville, TN$30$0$0$380—
8Vanderbilt Bedford HospitalShelbyville, TN$29$0$0$362—
9Northside Hospital, Inc.Lawrenceville, GA$69$534$889$3.0k$762
10Northside Hospital, Inc.Canton, GA$69$445$869$3.0k$773
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