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CPT 81451

HC TGSAP HL NEO 5-50 RNA ALYS

Reported by 26 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

$793

Median

$786

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$335$798$1.0k$1.7k$391
2Northwest Iowa Hospital CorporationSioux City, IA$237$786$786$1.7k$11
3St Luke's Methodist HospitalCedar Rapids, IA$304$786$786$1.7k$11
4Trinity Medical CenterRock Island, IL$359$798$1.0k$1.7k$395
5Trinity Medical CenterBettendorf, IA$319$798$847$1.7k$151
6Unity HealthcareMuscatine, IA$334$798$1.0k$1.7k$382
7Trinity Regional Medical CenterFort Dodge, IA$422$786$786$1.7k$11
8Meriter Hospital, IncMadison, WI$760$760$760$760—
9Central Iowa Hospital CorporationDes Moines, IA$304$786$786$1.7k$11
10Central Iowa Hospital CorporationDes Moines, IA$239$786$786$1.7k$11
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