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  5. /Case rate
CPT 81445

HC TARGET GENOM SEQ SOLID ORG NEOPLASM 5-50

Reported by 53 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

$868

Median

$619

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$264$628$793$1.4k$308
2Northwest Iowa Hospital CorporationSioux City, IA$187$619$619$1.2k$9
3St Luke's Methodist HospitalCedar Rapids, IA$240$619$619$1.2k$9
4Trinity Medical CenterRock Island, IL$283$628$798$1.4k$311
5Trinity Medical CenterBettendorf, IA$251$628$667$1.2k$119
6Unity HealthcareMuscatine, IA$263$628$800$1.4k$301
7Trinity Regional Medical CenterFort Dodge, IA$332$619$619$1.2k$9
8Meriter Hospital, IncMadison, WI$543$598$598$2.2k—
9Central Iowa Hospital CorporationDes Moines, IA$239$619$619$1.2k$9
10Central Iowa Hospital CorporationDes Moines, IA$188$619$619$1.2k$9
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