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CPT 81458

SO GSAP DNA CPY NMBR&MCRSTL

Reported by 522 hospitals in the network.

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.

National pricing summary

Low

$106

Average

$1.4k

Median

$1.1k

High

$14.0k

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$1.1k$1.0k$478—$3$2.4k
2Northwest Iowa Hospital CorporationSioux City, IA$1.1k$1.2k$363—$1.0k$2.4k
3St Luke'sJones Regional Medical CenterAnamosa, IA$1.0k$1.4k$576—$1.0k$2.4k
4Medical Ctiy ArgyleArgyle, TX$1.0k$1.1k$387—$495$2.7k
5Medical City AllianceSAGINAW, TX$1.0k$1.1k$364—$502$2.7k
6St Luke's Methodist HospitalCedar Rapids, IA$1.1k$1.3k$428—$1.0k$2.4k
7Trinity Medical CenterRock Island, IL$1.1k$1.1k$658—$3$2.4k
8Trinity Medical CenterBettendorf, IA$1.1k$1.3k$392—$1.0k$2.4k
9Unity HealthcareMuscatine, IA$1.1k$1.2k$576—$3$2.4k
10Trinity Regional Medical CenterFort Dodge, IA$1.1k$1.3k$471—$1.0k$2.4k
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