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CPT 81456

HC TGSAP SO/HL 51/< RNA ALYS

Reported by 38 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

$3.5k

Median

$3.0k

High

$4.6k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.3k$3.1k$3.9k$6.7k$1.5k
2Northwest Iowa Hospital CorporationSioux City, IA$911$3.0k$3.0k$6.5k$44
3St Luke's Methodist HospitalCedar Rapids, IA$1.2k$3.0k$3.0k$6.5k$44
4Trinity Medical CenterRock Island, IL$1.4k$3.1k$3.9k$6.7k$1.5k
5Trinity Medical CenterBettendorf, IA$1.2k$3.1k$3.3k$6.5k$579
6Unity HealthcareMuscatine, IA$1.3k$3.1k$3.9k$6.7k$1.5k
7Trinity Regional Medical CenterFort Dodge, IA$1.6k$3.0k$3.0k$6.5k$44
8Meriter Hospital, IncMadison, WI$2.4k$2.9k$2.9k$9.9k—
9Central Iowa Hospital CorporationDes Moines, IA$1.2k$3.0k$3.0k$6.5k$44
10Central Iowa Hospital CorporationDes Moines, IA$918$3.0k$3.0k$6.5k$44
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